NPIMap

Organization Active NPI

Riverplace Periodontics PC

  • Periodontics
  • Milwaukie, OR
National Provider Identifier
1043581465
Registry record updated May 4, 2015
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Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D7360 Issued in OR
Legal business name
RIVERPLACE PERIODONTICS PC
Practice address
2636 SE Harrison Street
Suite a
Milwaukie, OR 97222
Phone
(503) 654-5405
NPI assigned
Jan 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Dr. Duy Anh Tran, D.M.D
Title
Periodontist
Phone
(503) 654-5405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X D7360 OR Primary

Addresses

Primary practice location

2636 SE Harrison Street
Suite a
Milwaukie, OR 97222

Mailing address

2636 SE Harrison Street
Suite a
Milwaukie, OR 97222
Phone (503) 654-5405

Other names 1

  • Riverplace Periodontics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1043581465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 SE HARRISON STREET",
            "address_2": "SUITE A",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "97222",
            "telephone_number": "503-654-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 SE HARRISON STREET",
            "address_2": "SUITE A",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "97222",
            "telephone_number": "503-654-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERPLACE PERIODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "DUY ANH",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "503-654-5405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D7360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverplace Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.