NPIMap

Organization Active NPI

TJ Houlihan DMD LLC

  • General Practice Dentistry
  • Tigard, OR
National Provider Identifier
1003311465
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8127 Issued in OR
Legal business name
TJ HOULIHAN DMD LLC
Practice address
15495 SW Sequoia Pkwy Ste 120
Tigard, OR 97224
Phone
(503) 684-8445
NPI assigned
Mar 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Dr. Timothy J Houlihan, DMDNPI 1750515888
Title
Owner
Phone
(971) 275-2536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D8127 OR Primary

Addresses

Primary practice location

15495 SW Sequoia Pkwy Ste 120
Tigard, OR 97224

Mailing address

1990 Alpine Dr
West Linn, OR 97068-8626
Phone (971) 275-2536

Other practice location 1

15495 SW Sequoia Pkwy Ste 120
Portland, OR 97224-6101
Phone (971) 275-2536

Other names 1

  • Dental Professionals Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1003311465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 ALPINE DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970688626",
            "telephone_number": "971-275-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15495 SW SEQUOIA PKWY STE 120",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97224",
            "telephone_number": "503-684-8445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15495 SW Sequoia Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972246101",
            "country_code": "US",
            "telephone_number": "971-275-2536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TJ HOULIHAN DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "HOULIHAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-275-2536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Professionals",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.