Individual provider Active NPI

Cynthia A. Layport, D.M.D.

  • Periodontics
  • Tigard, OR
National Provider Identifier
1104825942
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D6427 Issued in OR
Practice address
9900 SW Greenburg Rd
Suite 230
Tigard, OR 97223-5502
Phone
(503) 620-1117
Fax
(503) 624-1547
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X D6427 OR Primary

Addresses

Primary practice location

9900 SW Greenburg Rd
Suite 230
Tigard, OR 97223-5502

Mailing address

15018 SW Telluride Ter
Beaverton, OR 97007-6634
Phone (503) 646-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D6427ORMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1104825942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15018 SW TELLURIDE TER",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076634",
            "telephone_number": "503-646-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SW GREENBURG RD",
            "address_2": "SUITE 230",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235502",
            "telephone_number": "503-620-1117",
            "fax_number": "503-624-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYPORT",
        "first_name": "CYNTHIA",
        "middle_name": "A.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D6427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.