Organization Active NPI

NW Portland Tendercare Dental PC

  • Dental Clinic/Center
  • Portland, OR
National Provider Identifier
1093632200
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NW PORTLAND TENDERCARE DENTAL PC
Practice address
4074 NW Saltzman Rd Ste 107
Portland, OR 97229-2423
Phone
(503) 629-8005
Fax
(503) 629-9775
NPI assigned
Jun 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Dr. Justin R Marostica, DMD
Title
Dentist/Owner
Phone
(503) 858-0741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4074 NW Saltzman Rd Ste 107
Portland, OR 97229-2423

Mailing address

4074 NW Saltzman Rd Ste 107
Portland, OR 97229-2423
Phone (503) 629-8005

National Provider Directory

National Provider Directory

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": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1093632200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4074 NW SALTZMAN RD STE 107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292423",
            "telephone_number": "503-629-8005",
            "fax_number": "503-629-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4074 NW SALTZMAN RD STE 107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292423",
            "telephone_number": "503-629-8005",
            "fax_number": "503-629-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW PORTLAND TENDERCARE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "MAROSTICA",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "503-858-0741",
        "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 Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.