Organization Active NPI

Newkirk&Montgomery,LLC

Doing business as Synergy Dental Center

  • Dental Clinic/Center
  • West Linn, OR
National Provider Identifier
1962650234
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5678 Issued in OR
Legal business name
NEWKIRK&MONTGOMERY,LLC
Doing business as
Synergy Dental Center
Practice address
22250 S Salamo Rd
West Linn, OR 97068-7206
Phone
(503) 656-9331
Fax
(503) 656-9391
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Mark W Montgomery, DMD
Title
Secretary
Phone
(503) 656-9331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5678 OR Primary

Addresses

Primary practice location

22250 S Salamo Rd
West Linn, OR 97068-7206

Mailing address

22250 S Salamo Rd
West Linn, OR 97068-7206
Phone (503) 656-9331

Other names 1

  • Synergy Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

22250 Salamo Rd
West Linn, OR 97068
Phone (503) 656-9331

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1962650234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 S SALAMO RD",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970687206",
            "telephone_number": "503-656-9331",
            "fax_number": "503-656-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 S SALAMO RD",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970687206",
            "telephone_number": "503-656-9331",
            "fax_number": "503-656-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWKIRK&MONTGOMERY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "503-656-9331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "5678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.