Broadway Dental, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D 5439 Issued in OR

Legal business name

BROADWAY DENTAL, P.C.

Practice address

1301 NE Broadway St
Portland, OR 97232-1235

Phone

(503) 249-1100

Fax

(503) 249-2969

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Edward Earl Goodman-Cherrier, DDS

Title

Dentist

Phone

(503) 249-1100

Specialties & licenses 1

Addresses

Other names 1

• dr. goodman-cherrier, p.c. Doing business as

Practitioners 2

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

• Edward Cherrier, DDS

  • General Practice Dentistry
  • Portland, OR
  • NPI 1497755193
  NPD (past)
• Sean M Couch, DDS

  • General Practice Dentistry
  • Kingston, WA
  • NPI 1205862646
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043425697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321235",
            "telephone_number": "503-249-1100",
            "fax_number": "503-249-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321235",
            "telephone_number": "503-249-1100",
            "fax_number": "503-249-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODMAN-CHERRIER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-249-1100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D 5439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dr. goodman-cherrier, p.c.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Broadhead, MFT-A
• Lisa Denise Broadous
• Andrew Michael Broadsword, DMD
• Jonathon Broadwater
• Broadway Cab, LLC
• Broadway Foot & Ankle Clinic, PC
• Broadway Medical Clinic LLP
• Broadway Physical Therapy & Sports Rehab LLC
• Broadway Vision World
• Craig Stanford Broberg, MD

• Dental Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.