NPIMap

Organization Active NPI

Charles U. Hartman DMD LLC

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1174998611
Registry record updated Dec 9, 2015
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9319 Issued in OR
Legal business name
CHARLES U. HARTMAN DMD LLC
Doing business as
portland dental center
Practice address
4301 NE Tillamook St
Portland, OR 97213-1315
Phone
(503) 331-1322
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Dr. Charles Uriah Hartman, DMD
Title
Owner
Phone
(503) 311-1322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D9319 OR Primary

Addresses

Primary practice location

4301 NE Tillamook St
Portland, OR 97213-1315

Mailing address

4301 NE Tillamook St
Portland, OR 97213-1315
Phone (503) 331-1322

Other names 1

  • portland dental center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1174998611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NE TILLAMOOK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131315",
            "telephone_number": "503-331-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 NE TILLAMOOK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131315",
            "telephone_number": "503-331-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES U. HARTMAN DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "URIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-311-1322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "portland dental center",
            "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 Dec 9, 2015; 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.