ORTHODONTIC SPECIALTY CARE (NPI# 1528102738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528102738 |
| Entity Type | Organization |
| Organization Name | ORTHODONTIC SPECIALTY CARE |
| Practice Address |
1040 29th Ave Sw Albany OR 97321-3416 |
| Practice Telephone | 5419264010 |
| Practice Fax Number | 5419264148 |
| Mailing Telephone | 5419264010 |
| Mailing Fax Number | 5419264148 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID W LEE (OWNER) |
| Authorized Official Telephone | 5419264010 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D6359 | OR | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ORTHODONTIC SPECIALTY CARE | 1040 29th Ave Sw, Albany, OR 97321 |
| Street Address |
1040 29TH AVE SW |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-3416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356573836 | Brett Brown | Dentist | 1040 29th Ave Sw, Albany, OR 97321-3416 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831351097 | Timothy Richard Esmay | Dentist | 877 Western Ave, Albany, NY 12203-2533 | 2008-06-30 |
| 1710196035 | Anna Steed Veilands | Dentist | 408 N Westover Blvd, Albany, GA 31707-2131 | 2007-05-22 |
| 1477769099 | Kenneth Brehnan | Dentist | 591 San Pablo Ave, Albany, CA 94706-1126 | 2007-05-14 |
| 1184839532 | Howard L Kabinoff | Dentist | 1465 Western Ave, Albany, NY 12203-3512 | 2007-05-11 |
| 1124151048 | Dallas Hunt Margeson | Dentist | 2402 Westgate Dr, Albany, GA 31707-2277 | 2007-03-13 |
| 1831229418 | Decker,sbuttoni,boghosian,dicerbo Specialists In Orthodontics | Dentist | 1004 Western Ave, Albany, NY 12203-2743 | 2007-03-06 |
| 1790835346 | Dean H Church | Dentist | 950 Kouns Dr Nw, Albany, OR 97321-9140 | 2007-01-12 |
| 1811046089 | Marsha Jordan Holloway, LLC | Dentist | 2547 Lafayette Plaza Dr, Albany, GA 31707-2200 | 2007-01-09 |
| 1649328345 | Janet Allwood | Dentist | 12 Wolf Rd, Albany, NY 12205-2603 | 2007-01-08 |
| 1124121231 | Ramtin K Nassiri | Dentist | 1183 Solano Ave, Albany, CA 94706-1637 | 2006-09-06 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.