Organization Active NPI

Michael W. Gehlen D.M.D.,P.C.

  • Dentist
  • Tualatin, OR
National Provider Identifier
1194983171
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D4430 Issued in OR
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

Updated by the provider on May 27, 2008

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
D4430OtherORSTATE LICENSE

Other names 1

  • Tualatin Cosmetic & Family Dentistry 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": "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.

Verify at the official NPI Registry.