Organization Active NPI

West End Dental

  • 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
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.

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • James A Krippaehne DMD Doing business as

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

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.