Organization Active NPI

Sirona DX Inc.

  • Clinical Medical Laboratory
  • Vancouver, WA
National Provider Identifier
1174987309
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
50D2111263 Issued in WA
Legal business name
SIRONA DX INC.
Practice address
14401 SE 1St St
Vancouver, WA 98684-3503
Phone
(503) 442-3580
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Dr. Nasry Y Yassa, PH.D.
Title
Ceo
Phone
(503) 442-3580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 50D2111263 WA Primary

Addresses

Primary practice location

14401 SE 1St St
Vancouver, WA 98684-3503

Mailing address

16869 65TH Ave Ste 163
Lake Oswego, OR 97035-7865
Phone (503) 430-8778

National Provider Directory

National Provider Directory

Locations

14780 SW Osprey Dr
Ste 325
Beaverton, OR 97007

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1174987309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16869 65TH AVE STE 163",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357865",
            "telephone_number": "503-430-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14401 SE 1ST ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986843503",
            "telephone_number": "503-442-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRONA DX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "YASSA",
        "authorized_official_first_name": "NASRY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-442-3580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "50D2111263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.