Organization Active NPI

William Behrndt D.M.D

  • Dental Clinic/Center
  • Milwaukie, OR
National Provider Identifier
1285970897
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D7371 Issued in OR
Legal business name
WILLIAM BEHRNDT D.M.D
Doing business as
William Behrndt D.M.D
Practice address
3030 SE Monroe St
Milwaukie, OR 97222-6637
Phone
(503) 659-7676
Fax
(503) 654-3303
NPI assigned
Dec 31, 2012
Last updated
Jan 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Mrs. Shelly Kivett
Title
Office Manager
Phone
(503) 659-7676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D7371 OR Primary

Addresses

Primary practice location

3030 SE Monroe St
Milwaukie, OR 97222-6637

Mailing address

3030 SE Monroe St
Milwaukie, OR 97222-6637
Phone (503) 659-7676

Other names 1

  • William Behrndt D.M.D Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1285970897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 SE MONROE ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226637",
            "telephone_number": "503-659-7676",
            "fax_number": "503-654-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 SE MONROE ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226637",
            "telephone_number": "503-659-7676",
            "fax_number": "503-654-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BEHRNDT D.M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "KIVETT",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-659-7676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D7371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William Behrndt D.M.D",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.