Beaverton Tendercare

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6960 Issued in OR

Legal business name

BEAVERTON TENDERCARE

Doing business as

R. W. Thompson DMD,PC

Practice address

4095 SW 144TH Ave Ste a
Beaverton, OR 97005-2368

Phone

(503) 643-4719

Fax

(503) 626-9488

NPI assigned

May 29, 2009

Last updated

May 29, 2009By 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. Lennie D Wong, DMDNPI 1932335262

Title

Doctor

Phone

(503) 643-4719

Specialties & licenses 1

Addresses

Other names 1

• R. W. Thompson DMD,PC Doing business as

Locations

Practitioners 2

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.

• Lennie D Wong, D.M.D

  • Dentist
  • Beaverton, OR
  • NPI 1932335262
  NPD (past) Authorized official
• Lan Gao, D.D.S

  • Dentist
  • Beaverton, OR
  • NPI 1720214059

  General Practice

  NPD (past)

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1235365602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 SW 144TH AVE STE A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052368",
            "telephone_number": "503-643-4719",
            "fax_number": "503-626-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 SW 144TH AVE STE A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052368",
            "telephone_number": "503-643-4719",
            "fax_number": "503-626-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVERTON TENDERCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LENNIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "503-643-4719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R. W. Thompson DMD,PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beaverton Pharmacy Inc (Beaverton Pharmacy)
• Beaverton Psychology Services LLC
• Beaverton Rehab & Specialty Care, LLC (Avamere Rehabilitation of Beaverton)
• Beaverton Sandy Dental Clinic PC
• Beaverton School District 48J
• Darrylann Cason Becker
• Grace C Beckman, QMHA
• Robin Beckman
• Jane E Bedell, MD
• Kathleen Louise Bedford, RPH

• General Practice Dentistry in Beaverton, OR
• Providers in Beaverton, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.