Individual provider Active NPI

Jose Maria Ramos Toledo, DDS, MS, PGD

  • Periodontics
  • Hillsboro, OR
National Provider Identifier
1063934396
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D12024 Issued in OR
Practice address
2790 NE 106TH Ave Ste a
Hillsboro, OR 97124-7449
Phone
(503) 844-0700
Fax
(503) 844-0721
NPI assigned
Jul 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DE61490753 WA
Periodontics 1223P0300X D12024 OR Primary

Addresses

Primary practice location

2790 NE 106TH Ave Ste a
Hillsboro, OR 97124-7449

Mailing address

346 Summit View Ave SE
Salem, OR 97306-3001
Phone (734) 881-2170

Other practice location 1

2101 NE 129th St
Vancouver, WA 98686-3264
Phone (360) 574-4574

Other names 1

  • Dr. Jose Maria Ramos-Toledo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250815003128 CA Order and Referring Only - DentistPractitioner - Dentist 0941570451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D12024ORMDPeriodontist
DE61490753WAMDPeriodontist

Networks

  • WA PPO C-SNP

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1063934396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 SUMMIT VIEW AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973063001",
            "telephone_number": "734-881-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 NE 106TH AVE STE A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247449",
            "telephone_number": "503-844-0700",
            "fax_number": "503-844-0721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 NE 129th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986863264",
            "country_code": "US",
            "telephone_number": "360-574-4574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS TOLEDO",
        "first_name": "JOSE MARIA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, PGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE61490753",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D12024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE MARIA",
            "last_name": "RAMOS-TOLEDO",
            "prefix": "DR.",
            "credential": "DDS, MS, PGD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.