Viseh Sundberg DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7735 Issued in OR

Legal business name

VISEH SUNDBERG DDS PC

Practice address

222 NW 10TH Ave
Portland, OR 97209-3109

Phone

(503) 546-9079

Fax

(503) 546-5474

NPI assigned

Dec 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Viseh Movarekhi-Sundberg, DDS

Title

President

Phone

(503) 546-9079

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sundberg Center for Dentistry Doing business as

Tax ID family

Sundberg Center for Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Viseh Sundberg DDS PC

  • General Practice Dentistry
  • Portland, OR
  • NPI 1003181223
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Viseh Sundberg, DDS

  • General Practice Dentistry
  • Salem, OR
  • NPI 1124041454
  NPD (past)

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1124449129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NW 10TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093109",
            "telephone_number": "503-546-9079",
            "fax_number": "503-546-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NW 10TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093109",
            "telephone_number": "503-546-9079",
            "fax_number": "503-546-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISEH SUNDBERG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "MOVAREKHI-SUNDBERG",
        "authorized_official_first_name": "VISEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-546-9079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "7735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF DENTISTRY",
            "identifier": "7735",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundberg Center for Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Virk, MD
• Virtualcare Medical Group of Or PC
• Virtually There Telemedicine, LLC
• Taylor M Virtue, MD
• Viseh Sundberg DDS PC
• Visionworks, Inc.
• Visiting Angels
• Madelynn Vislocky, DC
• Jillian McGranahan Visscher, MA
• Robert J. Vissers, MD

• 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 Dec 18, 2013; 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.