NPIMap

Organization Active NPI

Willamette Valley Endodontics, PC

  • Endodontics
  • Salem, OR
National Provider Identifier
1801216643
Registry record updated Apr 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
WILLAMETTE VALLEY ENDODONTICS, PC
Practice address
805 High St NE
Salem, OR 97301-2442
Phone
(503) 378-1334
Fax
(503) 581-9464
NPI assigned
Apr 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2014

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

Authorized official

Name
Dr. Tai Doan Truong, DMDNPI 1629244280
Title
Vice-President
Phone
(503) 378-1334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X OR Primary

Addresses

Primary practice location

805 High St NE
Salem, OR 97301-2442

Mailing address

805 High St NE
Salem, OR 97301-2442
Phone (503) 378-1334

National Provider Directory

National Provider Directory

Locations

805 High St NE
Salem, OR 97301
Phone (503) 378-1334

Practitioners & affiliated clinicians

Practitioners 3

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": "1397952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397952000000",
    "number": "1801216643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 HIGH ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012442",
            "telephone_number": "503-378-1334",
            "fax_number": "503-581-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 HIGH ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012442",
            "telephone_number": "503-378-1334",
            "fax_number": "503-581-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE VALLEY ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-20",
        "last_updated": "2014-04-20",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "TAI",
        "authorized_official_middle_name": "DOAN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "503-378-1334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.