Organization Active NPI

Carl B. Vorhies, DDS

  • Dental Clinic/Center
  • Portland, OR
National Provider Identifier
1104185560
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5228 Issued in OR
Legal business name
CARL B. VORHIES, DDS
Practice address
11786 SW Barnes Rd Ste 360
Portland, OR 97225-5930
Phone
(503) 646-1811
Fax
(503) 924-1698
NPI assigned
May 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Cindy Knutsen
Title
Office Admin
Phone
(503) 646-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5228 OR Primary

Addresses

Primary practice location

11786 SW Barnes Rd Ste 360
Portland, OR 97225-5930

Mailing address

11786 SW Barnes Rd Ste 360
Portland, OR 97225-5930
Phone (503) 646-1811

Other names 1

  • Cedar Creek Dental Doing business as

National Provider Directory

National Provider Directory

Locations

11786 SW Barnes Rd
Ste 360
Portland, OR 97225
Phone (503) 646-1811

Practitioners & affiliated clinicians

Practitioners 1

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": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1104185560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11786 SW BARNES RD STE 360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255930",
            "telephone_number": "503-646-1811",
            "fax_number": "503-924-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11786 SW BARNES RD STE 360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255930",
            "telephone_number": "503-646-1811",
            "fax_number": "503-924-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL B. VORHIES, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "KNUTSEN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "503-646-1811"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "5228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 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.

Verify at the official NPI Registry.