Bethany Family Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6857 Issued in OR

Legal business name

BETHANY FAMILY DENTAL PC

Practice address

4732 NW Bethany Blvd
Ste G-2
Portland, OR 97229-9410

Phone

(503) 617-7384

NPI assigned

Jan 10, 2017

Organization subpart

No

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

Authorized official

Name

Lacey Welin

Title

Insurance Coordinator

Phone

(503) 617-7384

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Nathaniel M Austria

  • Dentist
  • Portland, OR
  • NPI 1164642161
  NPD (past)
• Marion Holden, D.M.D.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1982041356
  NPD (past)

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1053857433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4732 NW BETHANY BLVD",
            "address_2": "STE G-2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299410",
            "telephone_number": "503-617-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 NW BETHANY BLVD",
            "address_2": "STE G-2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299410",
            "telephone_number": "503-617-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "WELIN",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "503-617-7384"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelaine Victoria Betancourt, MSCN
• Lawrence Charles Betcher, MSW/LCSW
• Beth Bogdon LPC LLC
• Lesley Anne Beth
• Bethany Dental Care, PC
• Bethany Rowland Pmhnp
• Christine Marie Bethel, LMFT
• Gregory Bethell
• Bethlehem LLC
• Ann Strachan Bethune, LPC, NCC

• 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 Jan 10, 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.