Sandy Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6709 Issued in OR

Legal business name

SANDY DENTAL PC

Practice address

7836 NE Sandy Blvd
Portland, OR 97213-6467

Phone

(503) 288-3107

Fax

(503) 287-4748

NPI assigned

Feb 14, 2007

Last updated

Jun 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Khiet Minh Tran, D.D.S.

Title

President

Phone

(503) 288-3107

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1023151727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7836 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136467",
            "telephone_number": "503-288-3107",
            "fax_number": "503-287-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7836 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136467",
            "telephone_number": "503-288-3107",
            "fax_number": "503-287-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KHIET",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-288-3107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki M. Sands, M.D.
• Ashley Sandsness, STUDENT, HEALTH CARE
• Ann Elizabeth Sandstedt, PT
• Katherine Sandstrom, NP
• Shadrack Marvin Sandvold, LMT
• Sandy Dental PDX
• Deanna Sanekane
• Shaneesta Sanfilippo
• Hannah Sanford-Keller, MS, CCC-SLP
• Courtney Sanford

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

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