Organization Active NPI

Terri L. Baarstad, DMD, PC

  • General Practice Dentistry
  • Eugene, OR
National Provider Identifier
1790870012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7914 Issued in OR
Legal business name
TERRI L. BAARSTAD, DMD, PC
Practice address
1045 Willagillespie Rd Ste 250
Eugene, OR 97401-6724
Phone
(541) 683-8396
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Terri Leanne Baarstad, DMD
Title
President Corporation
Phone
(541) 683-8396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D7914 OR Primary

Addresses

Primary practice location

1045 Willagillespie Rd Ste 250
Eugene, OR 97401-6724

Mailing address

1045 Willagillespie Rd Ste 250
Eugene, OR 97401-6724
Phone (541) 683-8396

Other names 1

  • SmileAlive Other name

National Provider Directory

National Provider Directory

Locations

1045 Willagillespie Rd
Ste 250
Eugene, OR 97401
Phone (541) 683-8396

Practitioners & affiliated clinicians

Practitioners 1

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790870012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 WILLAGILLESPIE RD STE 250",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016724",
            "telephone_number": "541-683-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 WILLAGILLESPIE RD STE 250",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016724",
            "telephone_number": "541-683-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRI L. BAARSTAD, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAARSTAD",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LEANNE",
        "authorized_official_title_or_position": "PRESIDENT CORPORATION",
        "authorized_official_telephone_number": "541-683-8396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileAlive",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.