Organization Active NPI

Oak Park Family Dental Care

  • General Practice Dentistry
  • Salem, OR
National Provider Identifier
1760526255
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6293 Issued in OR
Legal business name
OAK PARK FAMILY DENTAL CARE
Practice address
4175 Silverton Rd NE
Salem, OR 97305-2054
Phone
(503) 588-7800
Fax
(503) 391-0762
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Dr. Daniel P O'Leary, D.D.S.NPI 1821254541
Title
Owner
Phone
(503) 588-7800

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D6293 OR Primary

Addresses

Primary practice location

4175 Silverton Rd NE
Salem, OR 97305-2054

Mailing address

4175 Silverton Rd NE
Salem, OR 97305-2054
Phone (503) 588-7800

National Provider Directory

National Provider Directory
Tax ID family
Oak Park Family Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4175 Silverton Rd NE
Salem, OR 97305
Phone (503) 588-7800

Practitioners & affiliated clinicians

Practitioners 2

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": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1760526255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 SILVERTON RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973052054",
            "telephone_number": "503-588-7800",
            "fax_number": "503-391-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 SILVERTON RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973052054",
            "telephone_number": "503-588-7800",
            "fax_number": "503-391-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "O'LEARY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-588-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6293",
            "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 May 1, 2014; 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.