NPIMap

Organization Active NPI

Salem Endodontic Associates

  • Endodontics
  • Salem, OR
National Provider Identifier
1881969244
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D5856 Issued in OR
Legal business name
SALEM ENDODONTIC ASSOCIATES
Practice address
4342 Liberty Rd S
Salem, OR 97302-6171
Phone
(503) 363-6500
Fax
(503) 363-6292
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Kevin Roy Christiansen, D.D.S., M.S.D.NPI 1891789376
Title
Owner
Phone
(503) 363-6500

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X D5856 OR Primary

Addresses

Primary practice location

4342 Liberty Rd S
Salem, OR 97302-6171

Mailing address

4342 Liberty Rd S
Salem, OR 97302-6171
Phone (503) 363-6500

National Provider Directory

National Provider Directory

Locations

4342 Liberty Rd S
Salem, OR 97302
Phone (503) 363-6500

Practitioners & affiliated clinicians

Practitioners 2

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": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1881969244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 LIBERTY RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026171",
            "telephone_number": "503-363-6500",
            "fax_number": "503-363-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 LIBERTY RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026171",
            "telephone_number": "503-363-6500",
            "fax_number": "503-363-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM ENDODONTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-363-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D5856",
            "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 Mar 20, 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.