NPIMap

Organization Active NPI

Kaiser Permanente

  • Dental Assistant
  • Tigard, OR
National Provider Identifier
1275874091
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
120925 Issued in OR
Legal business name
KAISER PERMANENTE
Practice address
7105 SW Hampton St
Tigard, OR 97223-8314
Phone
(503) 684-9274
NPI assigned
Mar 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Miss Kosar Saad Meman, EFDA EFODANPI 1336481266
Title
Assistant
Phone
(503) 688-4601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 126800000X 120925 OR Primary

Addresses

Primary practice location

7105 SW Hampton St
Tigard, OR 97223-8314

Mailing address

4302 SW Vacuna St
Portland, OR 97219-7368

National Provider Directory

National Provider Directory

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": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1275874091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 SW VACUNA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972197368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 SW HAMPTON ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238314",
            "telephone_number": "503-684-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "MEMAN",
        "authorized_official_first_name": "KOSAR",
        "authorized_official_middle_name": "SAAD",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "503-688-4601",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "EFDA EFODA"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Assistant",
            "state": "OR",
            "license": "120925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.