NPIMap

Organization Active NPI

Michael C. Regan D.M.D. P.C.

  • General Practice Dentistry
  • Milwaukie, OR
National Provider Identifier
1295902336
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6536 Issued in OR
Legal business name
MICHAEL C. REGAN D.M.D. P.C.
Practice address
6969 SE Lake Rd
Milwaukie, OR 97267-2103
Phone
(503) 654-8283
Fax
(503) 659-5210
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Dr. Michael C ReganNPI 1629069018
Title
Dentist
Phone
(503) 654-8283

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6536 OR Primary

Addresses

Primary practice location

6969 SE Lake Rd
Milwaukie, OR 97267-2103

Mailing address

6969 SE Lake Rd
Milwaukie, OR 97267-2103
Phone (503) 654-8283

National Provider Directory

National Provider Directory

Locations

6969 SE Lake Rd
Milwaukie, OR 97267
Phone (503) 654-8283

Practitioners & affiliated clinicians

Practitioners 2

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": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1295902336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6969 SE LAKE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672103",
            "telephone_number": "503-654-8283",
            "fax_number": "503-659-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6969 SE LAKE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672103",
            "telephone_number": "503-654-8283",
            "fax_number": "503-659-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C. REGAN D.M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-654-8283",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 12, 2021; 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.