Organization Active NPI

Scappoose Dental Specialty Clinic, LLC

Doing business as Lotus Orthodontics and Periodontics

  • Dental Clinic/Center
  • Scappoose, OR
National Provider Identifier
1275808826
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D8764 Issued in OR
Legal business name
SCAPPOOSE DENTAL SPECIALTY CLINIC, LLC
Doing business as
Lotus Orthodontics and Periodontics
Practice address
51701 Columbia River Hwy
Scappoose, OR 97056-4441
Phone
(503) 987-1378
Fax
(503) 467-5592
NPI assigned
Mar 15, 2012
Last updated
Mar 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Dr. Tsung-Ju Hsieh, D.D.S., M.S.D.NPI 1184709735
Title
President
Phone
(503) 987-1378

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D8764 OR Primary
Dental Clinic/Center 261QD0000X D8383 OR

Addresses

Primary practice location

51701 Columbia River Hwy
Scappoose, OR 97056-4441

Mailing address

51701 Columbia River Hwy
Scappoose, OR 97056-4441
Phone (503) 987-1378

Other names 1

  • Lotus Orthodontics and Periodontics Doing business as

National Provider Directory

National Provider Directory

Locations

51701 Columbia River Hwy
Scappoose, OR 97056
Phone (503) 987-1378

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1275808826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51701 COLUMBIA RIVER HWY",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970564441",
            "telephone_number": "503-987-1378",
            "fax_number": "503-467-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51701 COLUMBIA RIVER HWY",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970564441",
            "telephone_number": "503-987-1378",
            "fax_number": "503-467-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCAPPOOSE DENTAL SPECIALTY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "HSIEH",
        "authorized_official_first_name": "TSUNG-JU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-987-1378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8764",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus Orthodontics and Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scappoose, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.