Michael C Royse, DMD, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D6613 Issued in OR

Legal business name

MICHAEL C ROYSE, DMD, LLC

Practice address

511 SW 10TH Ave
Suite #810
Portland, OR 97205-2732

Phone

(503) 223-3910

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael Charles Royse, DMDNPI 1336146307

Title

Owner

Phone

(503) 223-3910

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Michael Charles Royse, D.M.D.

  • Pediatric Dentistry
  • Portland, OR
  • NPI 1336146307
  NPD (past) Authorized official
• Dana Fox, DMD

  • Pediatric Dentistry
  • Portland, OR
  • NPI 1912382078
  NPD (past)

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1063787166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE",
            "address_2": "SUITE #810",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052732",
            "telephone_number": "503-223-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE",
            "address_2": "SUITE #810",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052732",
            "telephone_number": "503-223-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C ROYSE, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "ROYSE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-223-3910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D6613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158909",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Miasnikov
• Joshua Constantino Micallef, PA-C
• Ivana Micanovic
• Sydney Keen Micek, BA
• Michael Baskin MD LLC
• Michael D Moneta MD PC
• Michael D. Mellum, DMD PC
• Michael E. Davis DMD, PC
• Michael F. Bohley, M.D.,P.C.
• Michael P Naughton DMD PC

• 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 Mar 21, 2012; 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.