NPIMap

Organization Active NPI

Northwest Dental Group, LLC

  • Dentist
  • Hillsboro, OR
National Provider Identifier
1093194052
Registry record updated May 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NORTHWEST DENTAL GROUP, LLC
Practice address
324 SE 9TH Ave
Suite B
Hillsboro, OR 97123-4247
Phone
(503) 648-6671
Fax
(503) 693-1143
NPI assigned
May 23, 2015
Last updated
May 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2015

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

Authorized official

Name
Bryant Zollinger, DDS
Title
Dentist
Phone
(503) 648-6671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

324 SE 9TH Ave
Suite B
Hillsboro, OR 97123-4247

Mailing address

324 SE 9TH Ave
Suite B
Hillsboro, OR 97123-4247
Phone (503) 648-6671

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1432339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432339200000",
    "number": "1093194052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 SE 9TH AVE",
            "address_2": "SUITE B",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234247",
            "telephone_number": "503-648-6671",
            "fax_number": "503-693-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 SE 9TH AVE",
            "address_2": "SUITE B",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234247",
            "telephone_number": "503-648-6671",
            "fax_number": "503-693-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-23",
        "last_updated": "2015-05-23",
        "status": "A",
        "authorized_official_last_name": "ZOLLINGER",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-648-6671",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2015; 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.