Periopdx

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PERIOPDX

Practice address

1130 SE 122ND Ave
Portland, OR 97233-1112

Phone

(503) 252-5515

Fax

(503) 255-1625

NPI assigned

Jan 2, 2024

Last updated

Jan 2, 2024By 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. Duy Anh Tran, DMDNPI 1700846896

Title

Owner

Phone

(503) 380-5872

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Duy Anh Tran, DMD

  • Periodontics
  • Beaverton, OR
  • NPI 1700846896
  NPD Authorized official

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1275303109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR STE 240A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078424",
            "telephone_number": "503-747-0095",
            "fax_number": "503-747-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331112",
            "telephone_number": "503-252-5515",
            "fax_number": "503-255-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIOPDX",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "DUY ANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-380-5872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lavella Perfitt, M.S., SLP
• Performance Bodywork LLC (Surge Wellness)
• Performance Modalities Inc.
• Performance Solutions Unlimited, LLC
• David S Perham Jr., D.C.
• Kerri Perisich, M.A.
• Aimee Kristine Perkins, LMT
• Alicia Perkins
• Audrienne Manansala Perkins
• Dahra Perkins, MD

• Periodontics in Portland, OR
• Providers in Portland, OR by specialty
• Periodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.