NPIMap

Organization Active NPI

Kaiser Dental

  • Dental Assistant
  • Portland, OR
National Provider Identifier
1003965922
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
A9701 Issued in OR
Legal business name
KAISER DENTAL
Practice address
5025 SE 28TH Ave
Portland, OR 97202-4445
Phone
(503) 238-4418
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mrs. Victoria Elizabeth Solis, EFDA
Title
Dental Assistant
Phone
(503) 381-1238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 126800000X A9701 OR Primary

Addresses

Primary practice location

5025 SE 28TH Ave
Portland, OR 97202-4445

Mailing address

3220 SE 89TH Ave
Portland, OR 97266-1911
Phone (503) 381-1234

National Provider Directory

National Provider Directory

Locations

5025 SE 28th Ave
Portland, OR 97202
Phone (503) 238-4418

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1003965922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SE 89TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661911",
            "telephone_number": "503-381-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 SE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024445",
            "telephone_number": "503-238-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTAL ASSISTANT",
        "authorized_official_telephone_number": "503-381-1238",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EFDA"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": "OR",
            "license": "A9701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.