Individual provider Active NPI

Aron T Geelan, DMD

  • Dentist
  • Portland, OR
National Provider Identifier
1235445230
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9499 Issued in OR
Practice address
101 SW Main St Ste 290
Portland, OR 97204-3244
Phone
(503) 223-1322
NPI assigned
Aug 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D9499 OR Primary

Addresses

Primary practice location

101 SW Main St Ste 290
Portland, OR 97204-3244

Mailing address

101 SW Main St Ste 290
Portland, OR 97204-3244
Phone (503) 223-1322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170201000573 OR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7618250408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Geelan Dental Care LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1235445230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SW MAIN ST STE 290",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043244",
            "telephone_number": "503-223-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SW MAIN ST STE 290",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043244",
            "telephone_number": "503-223-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEELAN",
        "first_name": "ARON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.