Healthy Smiles

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HEALTHY SMILES

Practice address

156 Catron St N
Monmouth, OR 97361-2303

Phone

(503) 420-7389

NPI assigned

May 19, 2020

Organization subpart

No

Name

Becki Rose

Title

Office Administrator

Phone

(541) 418-4311

• Members Plus Dental Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2024.

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1679196190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1541",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700360",
            "telephone_number": "541-492-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 CATRON ST N",
            "city": "MONMOUTH",
            "state": "OR",
            "postal_code": "973612303",
            "telephone_number": "503-420-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "BECKI",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "541-418-4311"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Monmouth",
            "affiliation": "N",
            "address_1": "156 Catron St N",
            "city": "Monmouth",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973612303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Members Plus Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alexandra Mae Gloor, FNP
• Marcos Jeffrey Godman
• Roobaa Gonfa, PHARMD
• Hartford Home
• Michelle L Hasbrook, DMD
• Heron Pointe III, LLC
• Stephen Hotrum, PHARMD
• Christine Barbara Huang, DMD
• Hunsaker Dental LLC
• Bo Johnson

• All providers in Monmouth, OR
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.