Portland Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PORTLAND DENTAL LLC

Practice address

511 SW 10TH Ave Ste 1206
Portland, OR 97205-2713

Phone

(503) 227-1693

Fax

(503) 227-2362

NPI assigned

Feb 4, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kaveendra Thushara Ranasinghe, DMD

Title

Partner/General Dentist

Phone

(503) 227-1693

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Gerald Thomas Fujii, DMD

  • General Practice Dentistry
  • Portland, OR
  • NPI 1316042435
  NPD (past)
• Joel D Wasserman, D.D.S.

  • Dentist
  • Portland, OR
  • NPI 1659430841
  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1124583208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 1206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052713",
            "telephone_number": "503-227-1693",
            "fax_number": "503-227-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 1206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052713",
            "telephone_number": "503-227-1693",
            "fax_number": "503-227-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "RANASINGHE",
        "authorized_official_first_name": "KAVEENDRA",
        "authorized_official_middle_name": "THUSHARA",
        "authorized_official_title_or_position": "PARTNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "503-227-1693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Dart Schools
• Portland DBT Institute, Inc.
• Portland Dental and Naturopathic Clinic
• Portland Dental Associates PC
• Portland Dental Center
• Portland Dental Smiles
• Portland Dental Works, LLC
• Portland Dermatology Clinic, LLP
• Portland Detox
• Portland Diabetes & Endocrinology

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.