Elite Endodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D8724 Issued in OR

Legal business name

ELITE ENDODONTICS

Practice address

338 NE 181St Ave
Portland, OR 97230-6618

Phone

(503) 339-0019

NPI assigned

Apr 9, 2014

Organization subpart

No

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

Authorized official

Name

Steven Elkhal

Title

Endodontist

Phone

(503) 339-0019

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1063831709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 NE 181ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 NE 181ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306618",
            "telephone_number": "503-339-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "ELKHAL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "503-339-0019"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Wong
• Brandi Elise, LCSW
• Elite Body Therapy LLC
• Elite Chiropractic and Massage Center
• Elite Chiropractic Group
• Elite Medical Center Chiropractic & Massage
• Elite Orthopaedic Physical Therapy and Sports Performance
• Elite Upper Cervical LLC
• Eliza Rowley L.Ac.
• Elizabeth a. Schmick DO LLC

• 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 Apr 9, 2014; 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.