Organization Active NPI

Joel Fast DMD LLC

  • Dental Clinic/Center
  • Beaverton, OR
National Provider Identifier
1205789518
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOEL FAST DMD LLC
Practice address
17895 NW Evergreen Pkwy Ste 100
Beaverton, OR 97006-7402
Phone
(503) 533-0770
Fax
(503) 533-0772
NPI assigned
Feb 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Dr. Joel Fast, DMDNPI 1467595363
Title
Dentist
Phone
(503) 533-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

17895 NW Evergreen Pkwy Ste 100
Beaverton, OR 97006-7402

Mailing address

17895 NW Evergreen Pkwy Ste 100
Beaverton, OR 97006-7402
Phone (503) 533-0770

National Provider Directory

National Provider Directory

Locations

17895 NW Evergreen Pkwy
Ste 100
Beaverton, OR 97006
Phone (503) 533-0770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1205789518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17895 NW EVERGREEN PKWY STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067402",
            "telephone_number": "503-533-0770",
            "fax_number": "503-533-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17895 NW EVERGREEN PKWY STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067402",
            "telephone_number": "503-533-0770",
            "fax_number": "503-533-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL FAST DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "FAST",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-533-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.