NPIMap

Organization Active NPI

Delta Oaks Dental Care

  • General Practice Dentistry
  • Eugene, OR
National Provider Identifier
1902019565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6534 Issued in OR
Legal business name
DELTA OAKS DENTAL CARE
Practice address
2710 Delta Oaks Dr
Eugene, OR 97408-1740
Phone
(541) 484-9106
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Liz Daugherty
Title
Office Manager
Phone
(541) 484-9106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6534 OR Primary

Addresses

Primary practice location

2710 Delta Oaks Dr
Eugene, OR 97408-1740

Mailing address

2710 Delta Oaks Dr
Eugene, OR 97408-1740

National Provider Directory

National Provider Directory

Locations

2710 Delta Oaks Dr
Eugene, OR 97408
Phone (541) 484-9106

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902019565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 DELTA OAKS DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974081740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 DELTA OAKS DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974081740",
            "telephone_number": "541-484-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA OAKS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-484-9106"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.