Ortho Country Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ORTHO COUNTRY ORTHODONTICS LLC

Practice address

1300 NE Alpha Dr
McMinnville, OR 97128-9711

Phone

(512) 947-8916

NPI assigned

Jul 14, 2015

Organization subpart

No

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

Authorized official

Name

Kent Jensen

Title

Cfo

Phone

(503) 472-8320

Specialties & licenses 1

Addresses

Other names 1

• Ortho Country Ortho Former legal business name

Locations

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1790169217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 NE ALPHA DR",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289711",
            "telephone_number": "512-947-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NE ALPHA DR",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289711",
            "telephone_number": "512-947-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO COUNTRY ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "503-472-8320"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ortho Country Ortho",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Yetunde Oluwadare
• Lisa Anne Orback
• Oregon Oncology Specialists, LLP
• Kathleen Louise Orem
• Mona Renee Ornelas-Staneck, M.D.
• Maria Ortiz
• Marivel Ortiz
• Natalie Osborne
• Sienna Maria Osborne
• Osprey Alf, LLC (Vineyard Heights Assisted Living and Retirement Cottages)

• Orthodontics and Dentofacial Orthopedics Dentistry in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.