NPIMap

Organization Active NPI

Coastal Denture Clinic

  • Denturist
  • Florence, OR
National Provider Identifier
1821146820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
0516846206 Issued in OR
Legal business name
COASTAL DENTURE CLINIC
Practice address
1647 W 12TH St.
Florence, OR 97439
Phone
(541) 997-3344
Fax
(541) 997-9103
NPI assigned
Jan 8, 2007
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
Ms. Shawn M Murray, C.D.T., L.D.NPI 1437351285
Title
Owner
Phone
(541) 997-3344

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
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X 0516846206 OR Primary

Addresses

Primary practice location

1647 W 12TH St.
Florence, OR 97439

Mailing address

PO Box 38000
Florence, OR 97439-0161
Phone (541) 997-3344

National Provider Directory

National Provider Directory

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821146820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38000",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974390161",
            "telephone_number": "541-997-3344",
            "fax_number": "541-997-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 W 12TH ST.",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "97439",
            "telephone_number": "541-997-3344",
            "fax_number": "541-997-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL DENTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-997-3344",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.D.T., L.D."
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "OR",
            "license": "0516846206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, 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.