Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932259397 Individual Practitioner Male Practitioner

Jack R Elvin , DENTURIST

Denturist • Albany, OR

Professional Overview & Biography Verified Profile Summary

Jack Elvin, DENTURIST is a registered healthcare professional specializing in Denturist in Albany, OR. Practice services are available at 1113 HILL ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1113 Hill St Se

Albany, OR 973223295

Telephone 5419281955
Associated Practice Facility / Clinic
🏢 Hoyt Chiropractic Clinic Facility NPI 1689065211

Specialty Benchmarks & Practice Insights

Comparative analytics for Denturist in Albany, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Albany, OR (139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Denturist Primary Specialty

NUCC Taxonomy Code: 122400000X

State License OR DT-DO-609564

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
071696 (OR)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1113 HILL ST SE, ALBANY, OR 973223295 (Tel: 5419281955)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1645 9TH AVE SE, #286, ALBANY, OR 973224872 (Tel: 5419281955)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK ELVIN, DENTURIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Denturist (License #DT-DO-609564 in OR)

🟢
Initial NPI Registration & Enumeration January 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932259397
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1645 9th Ave Se, #286

Albany, OR 973224872

Phone: 5419281955

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.