Active NPI
Terri L. Baarstad, DMD, PC
- General Practice Dentistry
- Eugene, OR
National Provider Identifier
1790870012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D7914
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.