Individual provider Active NPI

Christina Vy, D.M.D

  • Endodontics
  • Portland, OR
National Provider Identifier
1144227240
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D7631 Issued in OR
Practice address
12661 SE Powell Blvd
Suite E
Portland, OR 97236-3400
Phone
(503) 762-2500
Fax
(503) 762-2504
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X D7631 OR Primary

Addresses

Primary practice location

12661 SE Powell Blvd
Suite E
Portland, OR 97236-3400

Mailing address

12661 SE Powell Blvd
Suite E
Portland, OR 97236-3400
Phone (503) 762-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110801000925 OR Order and Referring Only - DentistPractitioner - Dentist 5890964233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Endodontics, PC Endodontics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1144227240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12661 SE POWELL BLVD",
            "address_2": "SUITE E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363400",
            "telephone_number": "503-762-2500",
            "fax_number": "503-762-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12661 SE POWELL BLVD",
            "address_2": "SUITE E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363400",
            "telephone_number": "503-762-2500",
            "fax_number": "503-762-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VY",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D7631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.