Artistic Denture Inc

Primary specialty

DenturistTaxonomy code 122400000X

License

DTDO355212 Issued in OR

Legal business name

ARTISTIC DENTURE INC

Practice address

696 NE Winchester St
Roseburg, OR 97470-3260

Phone

(541) 673-2724

NPI assigned

Apr 7, 2014

Last updated

Apr 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randall Scott ClasenNPI 1235570961

Title

President

Phone

(541) 673-2724

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Randall Scott Clasen, L.D.

  • Denturist
  • Roseburg, OR
  • NPI 1235570961
  NPD (past) Authorized official
• Arielle Illia

  • Dental Hygienist
  • Roseburg, OR
  • NPI 1821496001
  NPD (past)
• Eduardo Ramirez, LD.

  • Denturist
  • Roseburg, OR
  • NPI 1831617968
  NPD (past)

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1790104727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 NE WINCHESTER ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703260",
            "telephone_number": "541-673-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 NE WINCHESTER ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703260",
            "telephone_number": "541-673-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTISTIC DENTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "CLASEN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-673-2724"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "OR",
            "license": "DTDO355212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Yvonne Armand, MFTI, LPHA, LMFT
• Emily Katherine Armstrong, MD
• Lauren Alexandra Arntt, LPC ASSOCIATE
• Candace Artemenko
• Artisan Orthotic Prosthetic Technologies, Inc
• Ash, LLC (Advanced Sleep Health, LLC)
• Jacey N Ashley
• Aspen Chiropractic P.C.
• Alexis Atchinson, D.D.S.
• Atrio Health Plans, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.