John Worthington DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

D9182 Issued in OR

Legal business name

JOHN WORTHINGTON DDS, PC

Practice address

1904 NE 45TH Ave
Portland, OR 97213-1418

Phone

(503) 281-0866

Fax

(503) 281-0867

NPI assigned

Mar 22, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Harley Worthington, DDS

Title

President

Phone

(503) 281-0866

Specialties & licenses 1

Addresses

Other names 1

• Northeast Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Paul Gagnon, DMD

  • General Practice Dentistry
  • Portland, OR
  • NPI 1568461994
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1003115676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 NE 45TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131418",
            "telephone_number": "503-281-0866",
            "fax_number": "503-281-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 NE 45TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131418",
            "telephone_number": "503-281-0866",
            "fax_number": "503-281-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN WORTHINGTON DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "WORTHINGTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HARLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-281-0866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Lenkin, LLC
• John M Barnes DPM LLC
• John Pham DDS PC
• John S Lee MD, PC
• John T. Pham, DO, PC
• Elizabeth Ellen John, L.M.T.
• Jeffrey John, PHARMACY TECHNICIAN
• Jessica Lynn John, LMT
• Wendell E. John, BA QMHA
• Amanda Johner, MD

• Dentist in Portland, OR
• Providers in Portland, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.