Organization Active NPI

Forest Christopher Port DMD PA

  • Dentist
  • Arden, NC
National Provider Identifier
1033656038
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6863 Issued in NC
Legal business name
FOREST CHRISTOPHER PORT DMD PA
Practice address
600 Julian LN Ste 610
Arden, NC 28704-7814
Phone
(828) 684-1633
Fax
(828) 684-1632
NPI assigned
Jan 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Forest Christopher Port, D.M.D.
Title
Ceo
Phone
(828) 684-1633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6863 NC Primary

Addresses

Primary practice location

600 Julian LN Ste 610
Arden, NC 28704-7814

Mailing address

600 Julian LN Ste 610
Arden, NC 28704-7814
Phone (828) 684-1633

Other names 1

  • Asheville Smile Center Doing business as

National Provider Directory

National Provider Directory

Locations

600 Julian Ln
Ste 610
Arden, NC 28704
Phone (828) 684-1633

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": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1033656038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JULIAN LN STE 610",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287047814",
            "telephone_number": "828-684-1633",
            "fax_number": "828-684-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JULIAN LN STE 610",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287047814",
            "telephone_number": "828-684-1633",
            "fax_number": "828-684-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST CHRISTOPHER PORT DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "PORT",
        "authorized_official_first_name": "FOREST",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-684-1633",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asheville Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.