Dr. Shawn Eckstrom, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7979 Issued in OR

Legal business name

DR. SHAWN ECKSTROM, D.D.S., P.C.

Practice address

51 Santa Clara Ave
Eugene, OR 97404-2077

Phone

(541) 686-4567

Fax

(541) 228-3230

NPI assigned

Apr 15, 2015

Last updated

Apr 15, 2015By 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

Dr. Shawn A. Eckstrom, D.D.S.NPI 1154304020

Title

Owner

Phone

(541) 686-4567

Specialties & licenses 1

Addresses

Other names 1

• Northwest Eugene Family Dental Other name

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.

• Shawn A Eckstrom, DDS

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1154304020
  Authorized official Same address or phone

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1790172831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SANTA CLARA AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042077",
            "telephone_number": "541-686-4567",
            "fax_number": "541-228-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SANTA CLARA AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042077",
            "telephone_number": "541-686-4567",
            "fax_number": "541-228-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHAWN ECKSTROM, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "ECKSTROM",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-686-4567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Eugene Family Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dr. Lacey J Loveland DPM PC (Oregon Foot & Ankle Center)
• Dr. Stacie Rowan, LLC
• Dr. Sunny Kierstyn Inc
• Levi Drago
• Deirdre Keirstan Drakus, RBT
• Jessica Draper, OTR/L, IBCLC

• General Practice Dentistry in Eugene, OR
• Providers in Eugene, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.