EAST PORTLAND DENTISTRY
NPI 1255544417
Dentist - General Practice in Portland, OR

NPI Status: Active since May 07, 2007

Contact Information

9 NE 120TH AVE
PORTLAND, OR
ZIP 97220
Phone: (503) 255-2424
Fax: (503) 253-0150

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  • Organization
  • Dentist
  • General Practice

About EAST PORTLAND DENTISTRY

This page provides the complete NPI Profile along with additional information for East Portland Dentistry, a provider established in Portland, Oregon operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1255544417 assigned on May 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 380578 (OR). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Cindy M Keller (Office Coordinator)

NPI
1255544417
Provider Name
EAST PORTLAND DENTISTRY
Entity Type
Organization
Location Address
9 NE 120TH AVE PORTLAND, OR 97220
Location Phone
(503) 255-2424
Location Fax
(503) 253-0150
Mailing Address
9 NE 120TH AVE PORTLAND, OR 97220
Mailing Phone
(503) 255-2424
Mailing Fax
(503) 253-0150
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-07-2007
Last Update Date
01-28-2016
Code Navigator

A dentist like East Portland Dentistry is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
380578
License State
OR
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CINDY M KELLER

Authorized Official Title
OFFICE COORDINATOR
Authorized Official Phone
(503) 255-2424

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1851458533OTHER (01)ORDURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255544417
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105104842
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 0 + 4 + 8 + 4 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1255544417 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982771416MICHAEL P NAUGHTON DMD PC
Organization
Dentist (General Practice)9 NE 120TH AVE
PORTLAND, OR 97220
(503) 253-7814
1487711156 JAMES PATRICK NAUGHTON D.M.D.
Individual
Dentist (General Practice)9 NE 120TH AVE
PORTLAND, OR 97220
(503) 255-2424
1851458533 JOY C AREND D.M.D.
Individual
Dentist (General Practice)9 NE 120TH AVE
PORTLAND, OR 97220
(503) 253-0226
1497969083DR. MICHAEL PATRICK NAUGHTON D.M.D.
Individual
Dentist (General Practice)9 NE 120TH AVE
PORTLAND, OR 97220
(503) 253-7814
1316152002MICHAEL P. NAUGHTON, DMD, PC
Organization
Dentist (General Practice)9 NE 120TH AVE
PORTLAND, OR 97220
(503) 253-7814

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255544417, enumerated in the NPI registry as an "organization" on May 07, 2007

The provider is located at 9 Ne 120th Ave Portland, Or 97220 and the phone number is (503) 255-2424

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 07, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.