SUNRISE DENTAL OF GRESHAM
NPI 1508174285
General Acute Care Hospital - Rural in Portland, OR

NPI Status: Active since September 16, 2010

Contact Information

13908 SE STARK ST
SPACE B
PORTLAND, OR
ZIP 97233
Phone: (503) 644-1126
Fax: (503) 644-1126

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  • Organization
  • General Acute Care Hospital
  • Rural
  • Accepts Insurance

About SUNRISE DENTAL OF GRESHAM

This page provides the complete NPI Profile along with additional information for Sunrise Dental Of Gresham, a provider established in Portland, Oregon operating as a General Acute Care Hospital, focusing in rural . The healthcare provider is registered in the NPI registry with number 1508174285 assigned on September 2010. The practitioner's primary taxonomy code is 282NR1301X with license number D7463 (OR). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Sunrise Dental Of Gresham. The authorized official of this NPI record is Dr. John J Lee Dds (Owner)

NPI
1508174285
Provider Legal Name
LEE GHORBANIAN I LTD
Other Organization Name
SUNRISE DENTAL OF GRESHAM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
13908 SE STARK ST SPACE B PORTLAND, OR 97233
Location Phone
(503) 644-1126
Location Fax
(503) 644-1126
Mailing Address
13908 SE STARK ST SPACE B PORTLAND, OR 97233
Mailing Phone
(503) 644-1126
Mailing Fax
(503) 644-1126
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2010
Last Update Date
09-16-2010
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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

General Acute Care Hospital Rural

Taxonomy Code
282NR1301X
Type
Hospitals
License No.
D7463
License State
OR

Insurance Plans Accepted

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

  • Delta Dental EPO - EPO
  • Delta Dental PPO - PPO
  • Delta Dental PPO MAC - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*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

DR. JOHN J LEE DDS

Authorized Official Title
OWNER
Authorized Official Phone
(503) 644-1126

Reviews for SUNRISE DENTAL OF GRESHAM

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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.
1508174285
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508278216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 2 + 7 + 8 + 2 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1508174285 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467455360DR. MARK MUTSCHLER DDS, MS
Individual
Dentist (Pediatric Dentistry)13908 SE STARK ST STE C
PORTLAND, OR 97233
(503) 254-5535
1194721555DR. DOUGLAS C BOYD DMD, MS
Individual
Dentist (Endodontics)13908 SE STARK ST STE A
PORTLAND, OR 97233
(503) 257-0545
1629182035DR. ZORYANA LOGVIN BRODSKY DMD
Individual
Dentist (General Practice)13908 SE STARK ST SUITE B
PORTLAND, OR 97233
(503) 255-9795
1043345598 FARIBA ROSTAMIAN MUTSCHLER DDS
Individual
Dentist (General Practice)13908 SE STARK ST SUITE C
PORTLAND, OR 97233
(503) 254-5535
1538436548DR. BYUNG-IL LEE D.M.D.
Individual
Dentist (General Practice)13908 SE STARK ST SPACE B
PORTLAND, OR 97233
(503) 253-4979
1811342710DR. KRISTEN S WELLENBROCK PSYD
Individual
Psychologist (Clinical)13908 SE STARK ST
PORTLAND, OR 97233
(503) 255-2343

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508174285, enumerated in the NPI registry as an "organization" on September 16, 2010

The provider is located at 13908 Se Stark St Space B Portland, Or 97233 and the phone number is (503) 644-1126

This medical organization specializes in General Acute Care Hospital with taxonomy code 282NR1301X with a focus in Rural

The provider might be accepting Accepts: Delta Dental Plan of Oregon and UnitedHealthcare. 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 September 16, 2010. 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].
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