Viseh Sundberg DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7735 Issued in OR

Legal business name

VISEH SUNDBERG DDS PC

Doing business as

Sundberg Center for Dentistry

Practice address

222 NW 10TH Ave
Portland, OR 97209-3109

Phone

(503) 546-9079

Fax

(503) 546-5474

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Jon Sundberg, MT

Title

Vice President

Phone

(503) 546-9079

Specialties & licenses 1

Addresses

Other names 1

• Sundberg Center for Dentistry Doing business as

Tax ID family

Sundberg Center for Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Viseh Sundberg DDS PC

  • Dental Clinic/Center
  • Portland, OR
  • NPI 1124449129
  NPD tax ID

Practitioners 1

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

• Viseh Sundberg, DDS

  • General Practice Dentistry
  • Salem, OR
  • NPI 1124041454
  NPD (past)

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1003181223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NW 10TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093109",
            "telephone_number": "503-546-9079",
            "fax_number": "503-546-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NW 10TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093109",
            "telephone_number": "503-546-9079",
            "fax_number": "503-546-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISEH SUNDBERG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "SUNDBERG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "503-546-9079",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundberg Center for Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chanprit Virk, LCSWA
• Kathryn Virk, MD
• Virtualcare Medical Group of Or PC
• Virtually There Telemedicine, LLC
• Taylor M Virtue, MD
• Viseh Sundberg DDS PC
• Visionworks, Inc.
• Visiting Angels
• Madelynn Vislocky, DC
• Jillian McGranahan Visscher, MA

• General Practice Dentistry in Portland, OR
• Providers in Portland, 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 Mar 21, 2012; 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.