NPIMap

Organization Active NPI

H.B Dalton, LLC

  • Other Technician
  • Medford, OR
National Provider Identifier
1699261933
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
CAE-P-10182922 Issued in OR
Legal business name
H.B DALTON, LLC
Practice address
1722 E McAndrews Rd Ste B
Medford, OR 97504-5500
Phone
(541) 622-8057
Fax
(541) 622-8058
NPI assigned
Jul 10, 2018
Organization subpart
Yes
Parent organization
H.B DALTON LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Samantha Rose, LMT, LENPI 1013157023
Title
Provider Owner
Phone
(541) 622-8057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 13153 OR
Other TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 247200000X CAE-P-10182922 OR Primary

Addresses

Primary practice location

1722 E McAndrews Rd Ste B
Medford, OR 97504-5500

Mailing address

1517 Siskiyou Blvd
Medford, OR 97504-7568
Phone (541) 778-7889

Other names 1

  • Daltons Therapeutic Massage Other name

National Provider Directory

National Provider Directory
Part of
HB Dalton LLC

Locations

1722 E McAndrews Rd
Ste B
Medford, OR 97504
Phone (541) 622-8057

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1699261933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 SISKIYOU BLVD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047568",
            "telephone_number": "541-778-7889",
            "fax_number": "541-622-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 E MCANDREWS RD STE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045500",
            "telephone_number": "541-622-8057",
            "fax_number": "541-622-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.B DALTON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "H.B DALTON LLC",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PROVIDER OWNER",
        "authorized_official_telephone_number": "541-622-8057",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT, LE"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "13153",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": "OR",
            "license": "CAE-P-10182922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daltons Therapeutic Massage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.