Roots Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ROOTS ORTHODONTICS LLC

Practice address

9370 SW Greenburg Rd
Portland, OR 97223-5442

Phone

(503) 245-7670

NPI assigned

Oct 30, 2017

Organization subpart

No

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

Authorized official

Name

Ryan Smith, DDS

Title

Member

Phone

(716) 601-9468

Specialties & licenses 1

Addresses

Other names 1

• Bridgetown Orthodontics Doing business as

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1245742386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 SW GREENBURG RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 SW GREENBURG RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235442",
            "telephone_number": "503-245-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "716-601-9468",
        "authorized_official_credential": "DDS"
    },
    "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": [
        {
            "organization_name": "Bridgetown Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roots Dental GP LLC
• Roots Dental LLC
• Roots Dental Stark LLC
• Roots Foundational Counseling LLC
• Roots Health Clinic LLC
• Roots Physical Therapy LLC
• Roots Therapy NW LLC
• Robert Whitney Rope, M.D.
• India Roper-Moyes
• Alonzo Steve Roper Jr.

• Orthodontics and Dentofacial Orthopedics Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.