NPIMap

Organization Active NPI

West End Dental

Doing business as James A Krippaehne DMD

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1164569638
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WEST END DENTAL
Doing business as
James A Krippaehne DMD
Practice address
833 SW 11TH Ave
#300
Portland, OR 97205-2117
Phone
(503) 224-7815
Fax
(503) 222-0029
NPI assigned
Jan 31, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. James A Krippaehne, DMDNPI 1851386783
Title
Owner
Phone
(503) 224-7815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary 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

  • James A Krippaehne DMD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170509002363 OR DME Supplier - Oral Surgery - Dentist 1355642794 Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

833 SW 11th Ave
Ste 300
Portland, OR 97205
Phone (503) 224-7815

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": "",
            "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

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.

Verify at the official NPI Registry.