Westside Periodontics & Implantology LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D8855 Issued in OR

Legal business name

WESTSIDE PERIODONTICS & IMPLANTOLOGY LLC

Practice address

9934 NW Skyline Heights Dr
Portland, OR 97229-2634

Phone

(503) 799-5383

NPI assigned

Feb 6, 2012

Last updated

Feb 6, 2012By 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

Dr. Vahid Thomas Eshraghi, DMD

Title

Periodontist

Phone

(503) 799-5383

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1124390281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9934 NW SKYLINE HEIGHTS DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292634",
            "telephone_number": "503-799-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9934 NW SKYLINE HEIGHTS DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292634",
            "telephone_number": "503-799-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PERIODONTICS & IMPLANTOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "ESHRAGHI",
        "authorized_official_first_name": "VAHID",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "503-799-5383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westover Dental Clinic
• Westover Heights Clinic
• Westside Internal Medicine
• Westside Internal Medicine
• Westside Pediatric Clinic PC
• Dillon Westwood, MS
• Rachel Anne Westwood, MD
• Heather Renae Wetch, PA-C
• Don Weter, BS,LMT, CNMT
• Brianna Wetherbe

• 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 Feb 6, 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.