Active NPI
Healthy Smiles
- Dentist
- Roseburg, OR
National Provider Identifier
1841812864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- HEALTHY SMILES
- Practice address
- 2530 NW Medical Park Dr
Roseburg, OR 97471-5510 - Phone
- (541) 288-1212
- NPI assigned
- May 13, 2020
- Last updated
- Jan 9, 2025
- 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
- Becki Rose
- Title
- Office Administrator
- Phone
- (541) 418-4311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
2530 NW Medical Park Dr
Roseburg, OR 97471-5510
Mailing address
PO Box 1541
Roseburg, OR 97470-0360
Phone (541) 492-1687
Other names 1
- Members Plus Dental
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Roseburg |
National Provider Directory
National Provider DirectoryLocations
696 NE Winchester St
Roseburg, OR 97470
Phone (541) 288-1212
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Roseburg, OR
- NPI 1265149553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736380800000",
"number": "1841812864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1541",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974700360",
"telephone_number": "541-492-1687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 NW MEDICAL PARK DR",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974715510",
"telephone_number": "541-288-1212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY SMILES",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-13",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "BECKI",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "541-418-4311"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Roseburg",
"affiliation": "N",
"address_1": "696 NE Winchester St",
"city": "Roseburg",
"state": "OR",
"country_code": "US",
"postal_code": "974703260",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Members Plus Dental",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.