EASTERN OREGON DENTAL CLINIC LLC
EASTERN OREGON DENTAL CLINIC LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1609043157, based in Ontario, OR. The organization lists 5 taxonomy classifications, with General Practice Dentistry recorded as primary.
Getting there
The practice address on file is 475 SW 12TH ST, Ontario, OR 97914. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| D6574 | OR | General Practice Dentistry primary |
| D9048 | OR | Dentist |
| D6574 | OR | Dentist |
| D7219 | OR | Dentist |
| D9048 | OR | Endodontics |
| D6574 | OR | Endodontics |
| D7219 | OR | Endodontics |
| D9048 | OR | General Practice Dentistry |
| D7219 | OR | General Practice Dentistry |
| D6574 | OR | Periodontics |
| D9048 | OR | Periodontics |
| D7219 | OR | Periodontics |
| D9048 | OR | Oral and Maxillofacial Surgery (Dentist) |
| D6574 | OR | Oral and Maxillofacial Surgery (Dentist) |
| D7219 | OR | Oral and Maxillofacial Surgery (Dentist) |
This provider holds licence D6574 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What General Practice covers
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NUCC Health Care Provider Taxonomy, code 1223G0001X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry General Practice | D6574 | OR | primary |
| 122300000X | Dentist | D9048 | OR | |
| 122300000X | Dentist | D6574 | OR | |
| 122300000X | Dentist | D7219 | OR | |
| 1223E0200X | Endodontics Endodontics | D9048 | OR | |
| 1223E0200X | Endodontics Endodontics | D6574 | OR | |
| 1223E0200X | Endodontics Endodontics | D7219 | OR | |
| 1223G0001X | General Practice Dentistry General Practice | D9048 | OR | |
| 1223G0001X | General Practice Dentistry General Practice | D7219 | OR | |
| 1223P0300X | Periodontics Periodontics | D6574 | OR | |
| 1223P0300X | Periodontics Periodontics | D9048 | OR | |
| 1223P0300X | Periodontics Periodontics | D7219 | OR | |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery | D9048 | OR | |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery | D6574 | OR | |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery | D7219 | OR |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1609043157 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 14, 2008 |
| Last updated | May 14, 2008 |
| Status | Active |
| Practice address |
475 SW 12TH ST Ontario, OR 97914 (541) 881-1794 Fax (541) 889-2904 |
| Mailing address |
478 SW 12TH ST Ontario, OR 97914 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 0 | 9 | 0 | 4 | 3 | 1 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 0 | 9 | 0 | 4 | 6 | 1 | 1 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.