NPIMap

Organization Active NPI

Pahls Dentistry PC

  • Dentist
  • Coquille, OR
National Provider Identifier
1730417106
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D8932 Issued in OR
Legal business name
PAHLS DENTISTRY PC
Practice address
346 N. Central Blvd
Coquille, OR 97423
Phone
(541) 396-2242
Fax
(541) 396-3860
NPI assigned
Nov 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Dr. Christian Brent Pahls, D.D.S.NPI 1003006941
Title
General Dentist
Phone
(541) 396-2242

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X D8932 OR Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X D8651 OR

Addresses

Primary practice location

346 N. Central Blvd
Coquille, OR 97423

Mailing address

346 N. Central Blvd
Coquille, OR 97423
Phone (541) 396-2242

National Provider Directory

National Provider Directory

Locations

346 N Central Blvd
Coquille, OR 97423
Phone (541) 396-1960

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": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1730417106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 N. CENTRAL BLVD",
            "city": "COQUILLE",
            "state": "OR",
            "postal_code": "97423",
            "telephone_number": "541-396-2242",
            "fax_number": "541-396-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 N. CENTRAL BLVD",
            "city": "COQUILLE",
            "state": "OR",
            "postal_code": "97423",
            "telephone_number": "541-396-2242",
            "fax_number": "541-396-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAHLS DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "PAHLS",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "541-396-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8932",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D8651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coquille, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.