Newberg Kids Dentist LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NEWBERG KIDS DENTIST LLC

Practice address

2502 E Portland Rd
Newberg, OR 97132-1923

Phone

(503) 538-4289

Fax

(503) 538-4352

NPI assigned

Feb 19, 2014

Organization subpart

No

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

Authorized official

Name

Navid Newport, DDSNPI 1851481238

Title

Owner/Provider

Phone

(360) 747-2111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Navid O Newport, DDS

  • Dentist
  • Newberg, OR
  • NPI 1851481238
  NPD (past) Authorized official
• Bradley Blake Field, D.D.S.

  • Pediatric Dentistry
  • Bend, OR
  • NPI 1154645471
  NPD (past)

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1154746758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 E PORTLAND RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321923",
            "telephone_number": "503-538-4289",
            "fax_number": "503-538-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 E PORTLAND RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321923",
            "telephone_number": "503-538-4289",
            "fax_number": "503-538-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERG KIDS DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "NEWPORT",
        "authorized_official_first_name": "NAVID",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "360-747-2111",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500675923",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Newberg Community Dental
• Newberg Counseling & Wellness, LLC
• Newberg Family Chiropractic PC
• Newberg Family Eye Care LLC
• Newberg Family Practice, LTD
• Newberg Memory Associates, LLC
• Newberg Pediatric Clinic
• Newberg Radiology Associates
• Newberg School District 29J
• Newberg Spine and Sport LLC

• Dental Clinic/Center in Newberg, OR
• Providers in Newberg, 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 Jun 20, 2024; 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.