Active NPI
Michael W. Gehlen D.M.D.,P.C.
- Dentist
- Tualatin, OR
National Provider Identifier
1194983171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D4430
- Legal business name
- MICHAEL W. GEHLEN D.M.D.,P.C.
- Practice address
- 8555 SW Tualatin Rd
Tualatin, OR 97062-9425 - Phone
- (503) 692-1450
- Fax
- (503) 352-9395
- NPI assigned
- May 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael William Gehlen, DMD
- Title
- President
- Phone
- (503) 692-1450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D4430 | OR | Primary |
Addresses
Primary practice location
8555 SW Tualatin Rd
Tualatin, OR 97062-9425
Mailing address
7940 SW 191St Ave
Beaverton, OR 97007-9017
Phone (503) 692-1450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D4430 | Other | OR | STATE LICENSE |
Other names 1
- Tualatin Cosmetic & Family Dentistry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211846400000",
"number": "1194983171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7940 SW 191ST AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970079017",
"telephone_number": "503-692-1450",
"fax_number": "503-352-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8555 SW TUALATIN RD",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629425",
"telephone_number": "503-692-1450",
"fax_number": "503-352-9395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL W. GEHLEN D.M.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-27",
"last_updated": "2008-05-27",
"status": "A",
"authorized_official_last_name": "GEHLEN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-692-1450",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "OR",
"license": "D4430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "D4430",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tualatin Cosmetic & Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.