Organization Active NPI

Wayne H Mori

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1073872404
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7483 Issued in OR
Legal business name
WAYNE H MORI
Practice address
700 NE Multhomah
Suite 850
Portland, OR 97232
Phone
(503) 230-8814
Fax
(503) 233-2264
NPI assigned
May 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Dr. Wayne Haruo Mori, DMDNPI 1396823571
Title
Owner
Phone
(503) 230-8814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D7483 OR Primary

Addresses

Primary practice location

700 NE Multhomah
Suite 850
Portland, OR 97232

Mailing address

700 NE Multhomah
Suite 850
Portland, OR 97232
Phone (503) 230-8814

National Provider Directory

National Provider Directory

Locations

700 NE Multnomah St
Ste 850
Portland, OR 97232
Phone (503) 230-8814

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1073872404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NE MULTHOMAH",
            "address_2": "SUITE 850",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97232",
            "telephone_number": "503-230-8814",
            "fax_number": "503-233-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NE MULTHOMAH",
            "address_2": "SUITE 850",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97232",
            "telephone_number": "503-230-8814",
            "fax_number": "503-233-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE H MORI",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "MORI",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "HARUO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-230-8814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

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