Active NPI
Sam El-Ebrashi, BDS, Ms, PC
- Prosthodontics
- Portland, OR
National Provider Identifier
1083963243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- D8650
- Legal business name
- SAM EL-EBRASHI, BDS, MS, PC
- Practice address
- 2075 SW First Ave
Ste. 2M
Portland, OR 97201-5314 - Phone
- (503) 226-6659
- Fax
- (503) 226-9523
- NPI assigned
- Sep 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sameh K El-Ebrashi, BDS, MS
- Title
- Owner
- Phone
- (503) 226-6659
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D4764 | OR | |
| Prosthodontics | 1223P0700X | D8650 | OR | Primary |
Addresses
Primary practice location
2075 SW First Ave
Ste. 2M
Portland, OR 97201-5314
Mailing address
2075 SW First Ave
Ste. 2M
Portland, OR 97201-5314
Phone (503) 226-6659
National Provider Directory
National Provider DirectoryLocations
2075 SW 1st Ave
Ste 2M
Portland, OR 97201
Phone (503) 226-6659
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthodontics
- Portland, OR
- NPI 1760494587
-
- Dentist
- Portland, OR
- NPI 1255687802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346716800000",
"number": "1083963243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 SW FIRST AVE",
"address_2": "STE. 2M",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015314",
"telephone_number": "503-226-6659",
"fax_number": "503-226-9523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 SW FIRST AVE",
"address_2": "STE. 2M",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015314",
"telephone_number": "503-226-6659",
"fax_number": "503-226-9523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM EL-EBRASHI, BDS, MS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-04",
"last_updated": "2012-09-04",
"status": "A",
"authorized_official_last_name": "EL-EBRASHI",
"authorized_official_first_name": "SAMEH",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-226-6659",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "BDS, MS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D4764",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "OR",
"license": "D8650",
"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 Sep 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.