Individual provider Active NPI

Anita Ho, DDS

  • General Practice Dentistry
  • Eagle Point, OR
National Provider Identifier
1093899304
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MD11975 Issued in MD
Practice address
217 W Main St Ste 160
Eagle Point, OR 97524-0450
Phone
(541) 826-2525
NPI assigned
Oct 24, 2006
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9489309-9926 UT
General Practice Dentistry 1223G0001X MD11975 MD Primary
General Practice Dentistry 1223G0001X D11893 OR

Addresses

Primary practice location

217 W Main St Ste 160
Eagle Point, OR 97524-0450

Mailing address

1640 SW Montgomery St Apt E
Portland, OR 97201-6089
Phone (571) 215-1355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150630000546 MD Order and Referring Only - DentistPractitioner - Dentist 1951613298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD11975MDMDGeneral Practice Dentistry
D11893ORMDGeneral Practice Dentistry
9489309-9926UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Dental Group, LLC General Practice PastSince May 19, 2024 Accepting new patients
David a. Pinsky DDS, PA Past Accepting new patients

Networks

  • UT PPO D-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1093899304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 SW MONTGOMERY ST APT E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972016089",
            "telephone_number": "571-215-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W MAIN ST STE 160",
            "city": "EAGLE POINT",
            "state": "OR",
            "postal_code": "975240450",
            "telephone_number": "541-826-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "9489309-9926",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "MD11975",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Point, OR

Sources for this page

Verify at the official NPI Registry.