Active NPI
West End Dental
- General Practice Dentistry
- Portland, OR
National Provider Identifier
1164569638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WEST END DENTAL
- Practice address
- 833 SW 11TH Ave
#300
Portland, OR 97205-2117 - Phone
- (503) 224-7815
- Fax
- (503) 222-0029
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. James A Krippaehne, DMD
- Title
- Owner
- Phone
- (503) 224-7815
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Portland, OR
- NPI 1821857293
-
- General Practice Dentistry
- Portland, OR
- NPI 1366966533
General Practice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170509002363 | OR | DME Supplier - Oral Surgery - Dentist | 1355642794 | Practice locations: Portland, OR |
National Provider Directory
National Provider DirectoryLocations
833 SW 11th Ave
Ste 300
Portland, OR 97205
Phone (503) 224-7815
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
833 SW 11TH Ave
#300
Portland, OR 97205-2117
Mailing address
833 SW 11TH Ave
#300
Portland, OR 97205-2117
Phone (503) 224-7815
Other names 1
NPPES NPI Registry- James A Krippaehne DMD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2008.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1164569638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 SW 11TH AVE",
"address_2": "#300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052117",
"telephone_number": "503-224-7815",
"fax_number": "503-222-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 SW 11TH AVE",
"address_2": "#300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052117",
"telephone_number": "503-224-7815",
"fax_number": "503-222-0029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST END DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "KRIPPAEHNE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-224-7815",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "James A Krippaehne DMD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
- Daniel J Wesson
- West Coast Chiropractic LLC
- West Coast Dental
- West Coast Endodontics, PC
- West Coast Wellness, LLC
- West Haven Chiropractic
- West Hills Allergy and Asthma Associates LLC
- West Hills Convalescent Center Limited Partnership
- West Hills Gastroenterology Associates PC
- West Hills Gastroenterology Equipment Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.