Oregon Family Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7295 Issued in CA

Legal business name

OREGON FAMILY DENTAL, P.C.

Practice address

1079 Chambers St
Eugene, OR 97402-3706

Phone

(541) 344-7900

Fax

(877) 700-4985

NPI assigned

Aug 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John J Park, D.D.SNPI 1730181454

Title

President of Corporation/Owner

Phone

(541) 344-7900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John J Park, D.D.S

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1730181454

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1720235161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 CHAMBERS ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023706",
            "telephone_number": "541-344-7900",
            "fax_number": "877-700-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 CHAMBERS ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023706",
            "telephone_number": "541-344-7900",
            "fax_number": "877-700-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON FAMILY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION/OWNER",
        "authorized_official_telephone_number": "541-344-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D7295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Direct Care Clinic LLC
• Oregon Ear, Nose and Throat, P.C.
• Oregon Eye Consultants LLC
• Oregon Eye Surgery Center, Inc
• Oregon Eye Surgery Center, Inc.
• Oregon Family Orthodontics LLC
• Oregon Healing Collective
• Oregon Health and Science University
• Oregon Healthcare Resources LLC
• Oregon Healthcare Resources LLC

• All providers in Eugene, OR
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.