NPIMap

Organization Active NPI

Tiffani a. Long DDS

Doing business as Farmington Dental Center

  • Dental Clinic/Center
  • Tillamook, OR
National Provider Identifier
1962825117
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D10033 Issued in OR
Legal business name
TIFFANI A. LONG DDS
Doing business as
Farmington Dental Center
Practice address
1115 Main Ave
Tillamook, OR 97141-3819
Phone
(503) 842-7788
NPI assigned
Jan 23, 2014
Last updated
Dec 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Tiffani Ann Long, DDS
Title
Dentist
Phone
(503) 842-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D10033 OR Primary

Addresses

Primary practice location

1115 Main Ave
Tillamook, OR 97141-3819

Mailing address

1115 Main Ave
Tillamook, OR 97141-3819
Phone (503) 842-7788

Other names 1

  • Farmington Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmington Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1962825117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MAIN AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413819",
            "telephone_number": "503-842-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MAIN AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413819",
            "telephone_number": "503-842-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANI A. LONG DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "TIFFANI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-842-7788",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D10033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmington Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tillamook, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.