Organization Active NPI

Vicki J Reichlein DMD PC

  • Dental Clinic/Center
  • Gresham, OR
National Provider Identifier
1003572223
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VICKI J REICHLEIN DMD PC
Practice address
1388 E Powell Blvd
Gresham, OR 97030-8004
Phone
(503) 328-6388
Fax
(503) 328-9776
NPI assigned
Nov 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Dr. Vicki J Reichlein, DMDNPI 1285795690
Title
Owner
Phone
(971) 219-7114

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1388 E Powell Blvd
Gresham, OR 97030-8004

Mailing address

13201 SE Blackberry Cir
Portland, OR 97236-4995
Phone (971) 219-7114

Other identifiers 1

IdentifierTypeStateIssuer
150298MedicaidOR

Other names 1

  • Hood View Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1003572223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 SE BLACKBERRY CIR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972364995",
            "telephone_number": "971-219-7114",
            "fax_number": "503-761-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 E POWELL BLVD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308004",
            "telephone_number": "503-328-6388",
            "fax_number": "503-328-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI J REICHLEIN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "REICHLEIN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-219-7114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150298",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hood View Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.