NPIMap

Organization Active NPI

Thomas a Base DMD

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1235404492
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6511 Issued in OR
Legal business name
THOMAS A BASE DMD
Practice address
10420 NE Wasco St
Portland, OR 97220-3928
Phone
(503) 256-2090
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Thomas A Base, D.M.D.NPI 1215038427
Title
Owner/Dentist
Phone
(503) 256-2090

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D6511 OR Primary

Addresses

Primary practice location

10420 NE Wasco St
Portland, OR 97220-3928

Mailing address

10420 NE Wasco St
Portland, OR 97220-3928
Phone (503) 256-2090

National Provider Directory

National Provider Directory

Locations

10420 NE Wasco St
Portland, OR 97220
Phone (503) 256-2090

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": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1235404492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 NE WASCO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203928",
            "telephone_number": "503-256-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 NE WASCO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203928",
            "telephone_number": "503-256-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A BASE DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "BASE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-256-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.