Jacob K. Bushnell, DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JACOB K. BUSHNELL, DDS LLC

Practice address

200 N Edwards St
Newberg, OR 97132-2709

Phone

(503) 538-7358

NPI assigned

Dec 16, 2024

Last updated

Dec 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacob K Bushnell, DDSNPI 1811401441

Title

Dentist

Phone

(503) 538-7358

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Kenneth Bushnell, DDS

  • General Practice Dentistry
  • Astoria, OR
  • NPI 1811401441
  NPD Authorized official
• Christopher J Brecke, D.D.S

  • General Practice Dentistry
  • Newberg, OR
  • NPI 1841289980
  NPD (past)
• Arthur Gutnik, DMD

  • Dentist
  • Newberg, OR
  • NPI 1992228076
  NPD (past)

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1932916723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 S COLLEGE ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323312",
            "telephone_number": "503-338-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N EDWARDS ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322709",
            "telephone_number": "503-538-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB K. BUSHNELL, DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-15",
        "status": "A",
        "authorized_official_last_name": "BUSHNELL",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-538-7358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Inglesby
• Intercultural Center for Psychology LLC
• Timothy Steven Irmen, LCSW
• Erica Ironside
• Dale Richard Isaak, ATC
• David Jacob
• Samantha Renee Jacobs Huwaldt
• Michael P. Jaczko, DO
• Melody Jadidollahi, PA
• Tyrell Jagelski, PA-C

• Dental Clinic/Center in Newberg, OR
• Providers in Newberg, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.