Individual provider Active NPI

Thalia Y Ohara, DDS

  • General Practice Dentistry
  • Keizer, OR
National Provider Identifier
1184712598
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8239 Issued in OR
Practice address
4185 River Rd N
Keizer, OR 97303-5503
Phone
(503) 375-2206
Fax
(503) 375-8410
NPI assigned
Oct 11, 2006
Last updated
Mar 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D8239 OR Primary

Addresses

Primary practice location

4185 River Rd N
Keizer, OR 97303-5503

Mailing address

4185 River Rd N
Keizer, OR 97303-5503
Phone (503) 375-2206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105001971 OR Order and Referring Only - DentistPractitioner - Dentist 3971805177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D8239ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smilecare of Oregon, LLC CurrentSince Feb 2, 2025 Accepting new patients

Locations

4185 River Rd N
Keizer, OR 97303
Phone (503) 375-2206

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1184712598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035503",
            "telephone_number": "503-375-2206",
            "fax_number": "503-375-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035503",
            "telephone_number": "503-375-2206",
            "fax_number": "503-375-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHARA",
        "first_name": "THALIA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

Verify at the official NPI Registry.