NPIMap

Organization Active NPI

Dental Health PC

  • General Practice Dentistry
  • Corvallis, OR
National Provider Identifier
1922333988
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9301 Issued in OR
Legal business name
DENTAL HEALTH PC
Practice address
869 NW 23Rd St
Corvallis, OR 97330-4307
Phone
(541) 757-1829
NPI assigned
Oct 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Authorized official

Name
Kendall Wood, DDSNPI 1518965326
Title
President
Phone
(541) 757-1829

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6864 OR
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 9301 OR Primary

Addresses

Primary practice location

869 NW 23Rd St
Corvallis, OR 97330-4307

Mailing address

869 NW 23Rd St
Corvallis, OR 97330-4307
Phone (541) 757-1829

National Provider Directory

National Provider Directory

Locations

869 NW 23rd St
Corvallis, OR 97330
Phone (541) 757-1829

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": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1922333988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 NW 23RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304307",
            "telephone_number": "541-757-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 NW 23RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304307",
            "telephone_number": "541-757-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-757-1829",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6864",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "9301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.