NPIMap

Organization Active NPI

Andres R Kaindl DDS

  • Periodontics
  • Salem, OR
National Provider Identifier
1780105304
Registry record updated Jul 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D7271 Issued in OR
Legal business name
ANDRES R KAINDL DDS
Practice address
2605 12TH PL SE
Salem, OR 97302-2576
Phone
(503) 585-4281
NPI assigned
Jul 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2017

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

Authorized official

Name
Nancy Seifert
Title
Admin
Phone
(503) 585-4281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X D7271 OR Primary

Addresses

Primary practice location

2605 12TH PL SE
Salem, OR 97302-2576

Mailing address

2605 12TH PL SE
Salem, OR 97302-2576

Other names 1

  • Salem Periodontal Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

2605 12th Pl SE
Salem, OR 97302
Phone (503) 585-4281

Practitioners & affiliated clinicians

Practitioners 4

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": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499212800000",
    "number": "1780105304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 12TH PL SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 12TH PL SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022576",
            "telephone_number": "503-585-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRES R KAINDL DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-05",
        "status": "A",
        "authorized_official_last_name": "SEIFERT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "503-585-4281"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D7271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Periodontal Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 5, 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.