Candid Oregon, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

CANDID OREGON, LLC

Practice address

5200 Meadows Rd Ste 200
Lake Oswego, OR 97035-0086

Phone

(860) 481-7631

NPI assigned

Sep 23, 2020

Organization subpart

No

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

Authorized official

Name

Chester Lynn Hurst

Title

DDS

Phone

(860) 481-7631

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1750998852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 MEADOWS RD STE 200",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970350086",
            "telephone_number": "860-481-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 MEADOWS RD STE 200",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970350086",
            "telephone_number": "860-481-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDID OREGON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "860-481-7631"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Merril Bywaters, LICENSED DENTURIST
• Jade Cain
• Caitlin C. Han, DMD, LLC (Tryon Creek Family Dentistry)
• Judith Anne Calpin, LMT
• Nancy Marie Campbell, PA-C
• Justin Canfield, LMT
• Susan Elizabeth Cantoni, OTR/L
• Heather Macdonald Cantrell, L.M.T.
• Muriel Capdepon, LMT
• Jessica Ann Carlin, HAS

• Orthodontics and Dentofacial Orthopedics Dentistry in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.