Organization Active NPI

Healthy Smiles Family Dental LLC

  • Dental Clinic/Center
  • Salem, OR
National Provider Identifier
1720338668
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D8941 Issued in OR
Legal business name
HEALTHY SMILES FAMILY DENTAL LLC
Practice address
4392 Liberty Rd S
Salem, OR 97302-6171
Phone
(503) 315-2500
Fax
(503) 339-1981
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Dr. NA XuNPI 1588840235
Title
DDS
Phone
(503) 315-2500

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D8941 OR Primary

Addresses

Primary practice location

4392 Liberty Rd S
Salem, OR 97302-6171

Mailing address

4392 Liberty Rd S
Salem, OR 97302-6171
Phone (503) 315-2500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1720338668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4392 LIBERTY RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026171",
            "telephone_number": "503-315-2500",
            "fax_number": "503-339-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4392 LIBERTY RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026171",
            "telephone_number": "503-315-2500",
            "fax_number": "503-339-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "NA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "503-315-2500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.