Organization Active NPI

Honeymint Pediatric Dentistry - Gladstone

  • Pediatric Dentistry
  • Gladstone, OR
National Provider Identifier
1164262648
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
HONEYMINT PEDIATRIC DENTISTRY - GLADSTONE
Practice address
20140 McLoughlin Blvd
Gladstone, OR 97027-2604
Phone
(971) 404-4765
NPI assigned
May 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Dr. Benjamin James, DDS
Title
Owner
Phone
(541) 666-6091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

20140 McLoughlin Blvd
Gladstone, OR 97027-2604

Mailing address

20140 McLoughlin Blvd
Gladstone, OR 97027-2604
Phone (971) 404-4765

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1164262648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20140 MCLOUGHLIN BLVD",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272604",
            "telephone_number": "971-404-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20140 MCLOUGHLIN BLVD",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272604",
            "telephone_number": "971-404-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONEYMINT PEDIATRIC DENTISTRY - GLADSTONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-666-6091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.