Organization Active NPI

Dennis D. Iverson, DDS, PC

  • General Practice Dentistry
  • Milwaukie, OR
National Provider Identifier
1013313956
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENNIS D. IVERSON, DDS, PC
Practice address
3030 SE Monroe St
Milwaukie, OR 97222-6637
Phone
(503) 659-7676
NPI assigned
Nov 4, 2014
Last updated
Nov 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Dr. Dennis D Iverson, D.D.S.
Title
Owner
Phone
(503) 926-4183

Specialties & licenses 1

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

Addresses

Primary practice location

3030 SE Monroe St
Milwaukie, OR 97222-6637

Mailing address

3030 SE Monroe St
Milwaukie, OR 97222-6637

National Provider Directory

National Provider Directory

Locations

3030 SE Monroe St
Milwaukie, OR 97222
Phone (503) 659-7676

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1013313956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 SE MONROE ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 SE MONROE ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226637",
            "telephone_number": "503-659-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS D. IVERSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-926-4183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.