Organization Active NPI

DRS Kiley and Roberts LLC

  • Customized Equipment (DME)
  • Hillsboro, OR
National Provider Identifier
1013398148
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
DRS KILEY AND ROBERTS LLC
Practice address
4440 NE Cornell Rd
Hillsboro, OR 97124-7315
Phone
(503) 648-3125
Fax
(503) 640-0519
NPI assigned
Jun 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Jim Kiley, DMD
Title
Co Owner
Phone
(503) 648-3125

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

4440 NE Cornell Rd
Hillsboro, OR 97124-7315

Mailing address

4440 NE Cornell Rd
Hillsboro, OR 97124-7315
Phone (503) 648-3125

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1013398148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 NE CORNELL RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247315",
            "telephone_number": "503-648-3125",
            "fax_number": "503-640-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 NE CORNELL RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247315",
            "telephone_number": "503-648-3125",
            "fax_number": "503-640-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS KILEY AND ROBERTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "KILEY",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "503-648-3125",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.