Organization Active NPI

Belmont Family Dentistry

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1134485691
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8766 Issued in OR
Legal business name
BELMONT FAMILY DENTISTRY
Practice address
5935 SE Belmont St
Portland, OR 97215-1925
Phone
(503) 234-1218
Fax
(503) 238-0981
NPI assigned
Apr 9, 2012
Last updated
Apr 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Dr. Aaron D Tinkle, DMD
Title
President/Treating Dentist
Phone
(503) 234-1218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D8766 OR Primary

Addresses

Primary practice location

5935 SE Belmont St
Portland, OR 97215-1925

Mailing address

5935 SE Belmont St
Portland, OR 97215-1925
Phone (503) 234-1218

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1134485691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151925",
            "telephone_number": "503-234-1218",
            "fax_number": "503-238-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151925",
            "telephone_number": "503-234-1218",
            "fax_number": "503-238-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "TINKLE",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/TREATING DENTIST",
        "authorized_official_telephone_number": "503-234-1218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.