Andrew Sype DMD, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ANDREW SYPE DMD, PC

Doing business as

Plaza 125 Dental

Practice address

12758 SE Stark St Ste D
Portland, OR 97233-1539

Phone

(503) 760-3214

Fax

(503) 719-5343

NPI assigned

Mar 19, 2020

Last updated

Mar 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leanne Sype

Title

Administration

Phone

(503) 544-7091

Specialties & licenses 1

Addresses

Other names 1

• Plaza 125 Dental Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew P Sype, D.M.D.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1306013800
  Medicare reassignment

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1114553468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12758 SE STARK ST STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331539",
            "telephone_number": "503-760-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12758 SE STARK ST STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331539",
            "telephone_number": "503-760-3214",
            "fax_number": "503-719-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW SYPE DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "SYPE",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "503-544-7091"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@plaza125dental.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12758 SE Stark St Ste D",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972331539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Plaza 125 Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew J Hughes MD
• Andrew L Thompson DMD PC & Assoc. (Saltzman TenderCare)
• Andrew Oh MD PC
• Andrew P. Price LCSW, LLC
• Andrew Rylaarsdam, DO, LLC
• Andrea Andrew
• Ashley Maliken Andrews, PHD
• Britta Andrews, LAC
• Brooke Charlton Andrews, MD
• Christopher Ray Andrews, M.D.

• Dental Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.