Organization Active NPI

L Brent Bitner DDS PC

  • General Practice Dentistry
  • Cottage Grove, OR
National Provider Identifier
1912083205
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7506 Issued in OR
Legal business name
L BRENT BITNER DDS PC
Practice address
335 S Pacific Hwy
Cottage Grove, OR 97424-2137
Phone
(541) 942-7934
NPI assigned
Oct 28, 2006
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
Dr. Brent Bitner, DDS
Title
President
Phone
54194227934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D7506 OR Primary

Addresses

Primary practice location

335 S Pacific Hwy
Cottage Grove, OR 97424-2137

Mailing address

PO Box 1231
Cottage Grove, OR 97424-0056
Phone (541) 942-7934

National Provider Directory

National Provider Directory

Locations

335 S Pacific Hwy
Cottage Grove, OR 97424
Phone (541) 942-7934

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912083205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974240056",
            "telephone_number": "541-942-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 S PACIFIC HWY",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242137",
            "telephone_number": "541-942-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L BRENT BITNER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BITNER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "54194227934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, 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.