NPIMap

Organization Active NPI

Valley Endodontics

  • Endodontics
  • Corvallis, OR
National Provider Identifier
1760997803
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
VALLEY ENDODONTICS
Practice address
2350 NW Century Dr Ste 200
Corvallis, OR 97330-3495
Phone
(541) 768-0419
Fax
(541) 768-0521
NPI assigned
Dec 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Dr. Brian Lee Wilson, DMDNPI 1740288034
Title
President
Phone
(541) 768-0419

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

2350 NW Century Dr Ste 200
Corvallis, OR 97330-3495

Mailing address

2350 NW Century Dr Ste 200
Corvallis, OR 97330-3495
Phone (541) 768-0419

National Provider Directory

National Provider Directory

Locations

2350 NW Century Dr
Ste 200
Corvallis, OR 97330
Phone (541) 768-0419

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": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1760997803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 NW CENTURY DR STE 200",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303495",
            "telephone_number": "541-768-0419",
            "fax_number": "541-768-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 NW CENTURY DR STE 200",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303495",
            "telephone_number": "541-768-0419",
            "fax_number": "541-768-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-768-0419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.