Beaverton Dental Arts LLC

Primary specialty

DentistTaxonomy code 122300000X

License

D7199 Issued in OR

Legal business name

BEAVERTON DENTAL ARTS LLC

Practice address

12751 SW 2ND St
Beaverton, OR 97005-2708

Phone

(503) 644-3312

Fax

(503) 644-1713

NPI assigned

Aug 31, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thao D Nguyen, DMDNPI 1295733293

Title

Member

Phone

(503) 644-3312

Specialties & licenses 1

Addresses

Other names 1

• Thao D Nguyen, DMD Other name

Locations

Practitioners 1

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.

• Thao Nguyen, D.M.D

  • General Practice Dentistry
  • Beaverton, OR
  • NPI 1295733293
  NPD (past) Authorized official

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184617516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12751 SW 2ND ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052708",
            "telephone_number": "503-644-3312",
            "fax_number": "503-644-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 SW 2ND ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052708",
            "telephone_number": "503-644-3312",
            "fax_number": "503-644-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVERTON DENTAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THAO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-644-3312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D7199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thao D Nguyen, DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janiene Beauchene, J.D., M.S.W.
• Madeline Nicole Beaupre
• William Beaver, HIS
• Beaverton Advanced Therapeutics
• Beaverton Bodyworks Rehab & Rejuvenation
• Beaverton Dental Center LLC
• Beaverton Dental Group PC
• Beaverton Eye Health
• Beaverton Family Chiropractic, PC
• Beaverton Family Dentistry

• Dentist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.