Cris Dental Group PC

Primary specialty

DentistTaxonomy code 122300000X

License

D8594 Issued in OR

Legal business name

CRIS DENTAL GROUP PC

Practice address

1333 W Harvard Ave
Roseburg, OR 97471-2838

Phone

(541) 672-2747

Fax

(541) 672-2757

NPI assigned

Mar 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Bratland, D.M.DNPI 1235128745

Title

Owner

Phone

(541) 672-2747

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Jacob Bratland, DMD

  • General Practice Dentistry
  • Roseburg, OR
  • NPI 1235128745
  Authorized official Same address or phone

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1770858128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 NW STEWART PKWY STE 304",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711602",
            "telephone_number": "541-672-2747",
            "fax_number": "541-672-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712838",
            "telephone_number": "541-672-2747",
            "fax_number": "541-672-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIS DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "BRATLAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-672-2747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Lynne Creech
• Hunter Aaron Creech
• Rachel Cress
• Cassandre Cressall, PMHNP-BC
• Amber Cripe
• Crisdental Mobile, LLC
• Edith Lynn Cronk, LCSW
• Jazmin Crookes, MA, LPC
• Michaela Cross, CHW
• Shelli Cross

• Dentist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.