NPIMap

Organization Active NPI

RDKC, LLC

  • Dental Clinic/Center
  • Wilsonville, OR
National Provider Identifier
1093533671
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RDKC, LLC
Practice address
8995 SW Miley Rd Ste 101 and 103
Wilsonville, OR 97070-5484
Phone
(503) 880-3733
NPI assigned
Oct 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Dr. Kenneth Clow, DMDNPI 1841645231
Title
Member
Phone
(503) 880-3733

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8995 SW Miley Rd Ste 101 and 103
Wilsonville, OR 97070-5484

Mailing address

8995 SW Miley Rd
Wilsonville, OR 97070-5484
Phone (503) 880-3733

National Provider Directory

National Provider Directory

Locations

8995 SW Miley Rd
Ste 101
Wilsonville, OR 97070
Phone (503) 880-3733

Practitioners & affiliated clinicians

Practitioners 2

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": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1093533671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8995 SW MILEY RD",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970705484",
            "telephone_number": "503-880-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8995 SW MILEY RD STE 101 AND 103",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970705484",
            "telephone_number": "503-880-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDKC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "CLOW",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-880-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.