Organization Active NPI

Hood River Dental

  • General Practice Dentistry
  • Hood River, OR
National Provider Identifier
1881952299
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HOOD RIVER DENTAL
Practice address
1805 Belmont Ave
Hood River, OR 97031-1657
Phone
(541) 386-4255
Fax
(541) 386-5512
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Mr. David Clayton Crawford
Title
Administrator
Phone
(541) 386-4255

Specialties & licenses 1

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

Addresses

Primary practice location

1805 Belmont Ave
Hood River, OR 97031-1657

Mailing address

1805 Belmont Ave
Hood River, OR 97031-1657
Phone (541) 386-4255

Other names 1

  • Curtis Haynie DMD Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Curtis C Haynie DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1881952299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 BELMONT AVE",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311657",
            "telephone_number": "541-386-4255",
            "fax_number": "541-386-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 BELMONT AVE",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311657",
            "telephone_number": "541-386-4255",
            "fax_number": "541-386-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOD RIVER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-386-4255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Curtis Haynie DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.