NPIMap

Organization Active NPI

Justus Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Portland, OR
National Provider Identifier
1235569070
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JUSTUS ORTHODONTICS LLC
Practice address
11790 SW Barnes Rd Ste 390
Portland, OR 97225-5935
Phone
(503) 352-3800
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Dr. Tamara JustusNPI 1437581881
Title
Owner
Phone
(503) 352-3800

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

11790 SW Barnes Rd Ste 390
Portland, OR 97225-5935

Mailing address

11790 SW Barnes Rd Ste 390
Portland, OR 97225-5935
Phone (503) 352-3800

National Provider Directory

National Provider Directory

Locations

11790 SW Barnes Rd
Ste 390
Portland, OR 97225
Phone (503) 352-3800

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": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1235569070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD STE 390",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255935",
            "telephone_number": "503-352-3800",
            "fax_number": "503-352-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD STE 390",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255935",
            "telephone_number": "503-352-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTUS ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "JUSTUS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-352-3800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "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 Nov 14, 2013; 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.