NPIMap

Organization Active NPI

Orchard Heights Dental LLC

  • General Practice Dentistry
  • Salem, OR
National Provider Identifier
1831468958
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5977 Issued in OR
Legal business name
ORCHARD HEIGHTS DENTAL LLC
Practice address
675 Orchard Heights Rd NW
Suite 100
Salem, OR 97304-3186
Phone
(503) 370-8787
Fax
(503) 585-9559
NPI assigned
Dec 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Mr. Kenneth Alan Murray, DDS
Title
Owner
Phone
(503) 370-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D5977 OR Primary

Addresses

Primary practice location

675 Orchard Heights Rd NW
Suite 100
Salem, OR 97304-3186

Mailing address

675 Orchard Heights Rd NW
Suite 100
Salem, OR 97304-3186
Phone (503) 370-8787

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1831468958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 ORCHARD HEIGHTS RD NW",
            "address_2": "SUITE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043186",
            "telephone_number": "503-370-8787",
            "fax_number": "503-585-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 ORCHARD HEIGHTS RD NW",
            "address_2": "SUITE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043186",
            "telephone_number": "503-370-8787",
            "fax_number": "503-585-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD HEIGHTS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-370-8787",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D5977",
            "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 Dec 19, 2011; 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.