Tigard Tendercare PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

D9419 Issued in OR

Legal business name

TIGARD TENDERCARE PC

Practice address

11960 SW Pacific Hwy
Tigard, OR 97223-6439

Phone

(503) 670-7088

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Justin Ray Marostica, D.M.D.

Title

President

Phone

(503) 670-7088

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alexander Lee, DMD

  • General Practice Dentistry
  • Tigard, OR
  • NPI 1134955958
  NPD (past)

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1023434271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11960 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236439",
            "telephone_number": "503-670-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236439",
            "telephone_number": "503-670-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIGARD TENDERCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "MAROSTICA",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-670-7088",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "D9419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tigard Holistic Health Clinic, LLC
• Tigard Memory Partners, LLC
• Tigard Modern Dentistry and Orthodontics, PC
• Tigard of Cascadia, LLC
• Tigard Operations, LLC
• Tigard Triangle Smiles, PC
• Tigard Vision Center, Inc.
• Tigard Vision World, P.C.
• Tigard-Tualatin School District 23J
• Tigard-Tualatin School District 23J

• Health Service Clinic/Center in Tigard, OR
• Providers in Tigard, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.