Organization Active NPI

Pitman Family Dentistry, LLC

  • Dentist
  • Portland, OR
National Provider Identifier
1275752370
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D8608 Issued in OR
Legal business name
PITMAN FAMILY DENTISTRY, LLC
Practice address
2230 W Burnside St
Suite C
Portland, OR 97210-3726
Phone
(503) 295-7801
Fax
(503) 295-7704
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sarah Kathleen Pitman, D.M.D.
Title
Dentist Owner
Phone
(503) 295-7801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D8608 OR Primary

Addresses

Primary practice location

2230 W Burnside St
Suite C
Portland, OR 97210-3726

Mailing address

2230 W Burnside St
Suite C
Portland, OR 97210-3726
Phone (503) 295-7801

National Provider Directory

National Provider Directory

Locations

2230 W Burnside St
Ste C
Portland, OR 97210
Phone (503) 295-7801

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275752370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 W BURNSIDE ST",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103726",
            "telephone_number": "503-295-7801",
            "fax_number": "503-295-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W BURNSIDE ST",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103726",
            "telephone_number": "503-295-7801",
            "fax_number": "503-295-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITMAN FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PITMAN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "503-295-7801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8608",
            "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 Aug 22, 2020; 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.