NPIMap

Organization Active NPI

Dalles Dental Care LLC

  • Dentist
  • The Dalles, OR
National Provider Identifier
1972924215
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DALLES DENTAL CARE LLC
Doing business as
The Dalles Dental Care
Practice address
501 E 7TH St
The Dalles, OR 97058-2677
Phone
(541) 298-4411
Fax
(541) 298-7798
NPI assigned
Jan 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Dr. Haley Easling, DMDNPI 1548681166
Title
Owner Dentist
Phone
(541) 298-4411

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

501 E 7TH St
The Dalles, OR 97058-2677

Mailing address

501 E 7TH St
The Dalles, OR 97058-2677
Phone (541) 298-4411

Other names 1

  • The Dalles Dental Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241029004061 OR DME Supplier - Oral Surgery - Dentist 0345552733 Practice locations: The Dalles, OR

National Provider Directory

National Provider Directory

Locations

501 E 7th St
The Dalles, OR 97058
Phone (541) 298-4411

Practitioners & affiliated clinicians

Practitioners 5

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": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1972924215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E 7TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582677",
            "telephone_number": "541-298-4411",
            "fax_number": "541-298-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E 7TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582677",
            "telephone_number": "541-298-4411",
            "fax_number": "541-298-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLES DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "EASLING",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "541-298-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dalles Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.