Organization Active NPI

Valley Denture Care LLC

  • Denturist
  • Jacksonville, OR
National Provider Identifier
1770083172
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
Legal business name
VALLEY DENTURE CARE LLC
Practice address
535 N 5TH St
Jacksonville, OR 97530-9704
Phone
(541) 899-9516
Fax
(541) 899-9516
NPI assigned
Feb 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Erin Thomas
Title
Owner
Phone
(541) 899-9516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X Primary

Addresses

Primary practice location

535 N 5TH St
Jacksonville, OR 97530-9704

Mailing address

PO Box 505
Jacksonville, OR 97530-0505
Phone (541) 899-9516

National Provider Directory

National Provider Directory

Locations

535 N 5th St
Jacksonville, OR 97530
Phone (541) 899-9516

Practitioners & affiliated clinicians

Practitioners 1

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": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1770083172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975300505",
            "telephone_number": "541-899-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N 5TH ST",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309704",
            "telephone_number": "541-899-9516",
            "fax_number": "541-899-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DENTURE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-899-9516"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.