Master Dental Smiles Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MASTER DENTAL SMILES INC

Practice address

12661 SE Powell Blvd Ste C
Portland, OR 97236-3400

Phone

(503) 761-1900

NPI assigned

Mar 16, 2020

Organization subpart

No

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

Authorized official

Name

James Robert EdwardsNPI 1639198021

Title

Dentist

Phone

(503) 761-1900

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.

• James Robert Edwards, DDS

  • Dentist
  • Galt, CA
  • NPI 1639198021

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1003442518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12661 SE POWELL BLVD STE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363400",
            "telephone_number": "503-761-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12661 SE POWELL BLVD STE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363400",
            "telephone_number": "503-761-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTER DENTAL SMILES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-761-1900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Massingale, PTA
• Heather Masson-Spicer, LCSW
• Angela Massoni-Blaine
• Massotherapy Clinic, PC
• John George Grace Massoud, MD
• Mitesh Master, L.AC.
• Abigail Phyllis Masters
• Andrea Lane Masters
• Aneesa Masters, MS, CGC
• Nancy Masters, PMHNP

• 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 16, 2020; 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.