Organization Active NPI

Healthy Smiles

  • Dentist
  • Roseburg, OR
National Provider Identifier
1841812864
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Roseburg

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.