Jade Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JADE DENTAL LLC

Practice address

12450 SW Pioneer LN
Beaverton, OR 97008-8377

Phone

(510) 501-4317

NPI assigned

Sep 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Ching Hsiang Chuang, DDSNPI 1124543640

Title

Owner

Phone

(510) 501-4317

Specialties & licenses 1

Addresses

Other names 1

• Smile 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.

• Patrick Ching Hsiang Chuang, DDS

  • General Practice Dentistry
  • Beaverton, OR
  • NPI 1124543640
  NPD Authorized official

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1003467358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 SW RIVER PKWY UNIT 1611",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394544",
            "telephone_number": "510-501-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 SW PIONEER LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970088377",
            "telephone_number": "510-501-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "CHUANG",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "CHING HSIANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-501-4317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Jacky, DENTURIST LD
• Tonia Ann Jacobs
• Mary Abigail Jacobson, MPA, NBC-HWC
• Roddy Jacobson
• James Anthony Jacoby, LMT
• Sayali Jadhav
• Jagger & Crew International LLC
• Rashmi Jain
• James B. Johnsen, D.M.D.
• James Cavin Physical Therapy Inc.

• Dental Clinic/Center in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.