Beaverton Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6683 Issued in OR

Legal business name

BEAVERTON FAMILY DENTISTRY

Practice address

10950 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3003

Phone

(503) 641-1100

NPI assigned

Feb 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Tony H Moghimian, DDS

Title

President

Phone

(503) 641-1100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Hamid Moghimian, DDS

  • General Practice Dentistry
  • Beaverton, OR
  • NPI 1942302542
  NPD (past)

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1003138116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 SW BEAVERTON HILLSDALE HWY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 SW BEAVERTON HILLSDALE HWY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053003",
            "telephone_number": "503-641-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVERTON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "MOGHIMIAN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-641-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaverton Dental Arts LLC
• Beaverton Dental Center LLC
• Beaverton Dental Group PC
• Beaverton Eye Health
• Beaverton Family Chiropractic, PC
• Beaverton Family Medicine
• Beaverton Healing Center
• Beaverton Massage Studio
• Beaverton Medical Massage LLC
• Beaverton Naturopathic Medicine

• General Practice Dentistry in Beaverton, OR
• Providers in Beaverton, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.