Northwest Oral and Implant Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

NORTHWEST ORAL AND IMPLANT SURGERY

Practice address

911 Country Club Rd Ste 100
Eugene, OR 97401-6045

Phone

(541) 465-9898

NPI assigned

Aug 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Welch, MD DDS

Title

Owner

Phone

(541) 465-9898

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1535155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535155200000",
    "number": "1952882185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 COUNTRY CLUB RD STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 COUNTRY CLUB RD STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016045",
            "telephone_number": "541-465-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ORAL AND IMPLANT SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-25",
        "last_updated": "2018-08-25",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-465-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Eugene, OR
• Providers in Eugene, OR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; 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.