Mt. Scott Endodontics, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D7910 Issued in OR

Legal business name

MT. SCOTT ENDODONTICS, PC

Practice address

10365 SE Sunnyside Rd Ste 260
Clackamas, OR 97015-5707

Phone

(503) 698-4484

Fax

(503) 698-5033

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Ralph Baumgarth, D.D.S., M.S.NPI 1588674964

Title

President/Endodontist

Phone

(503) 698-4484

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Ralph Baumgarth, D.D.S., M.S.

  • Endodontics
  • Clackamas, OR
  • NPI 1588674964
  NPD (past) Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306951074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10365 SE SUNNYSIDE RD STE 260",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155707",
            "telephone_number": "503-698-4484",
            "fax_number": "503-698-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10365 SE SUNNYSIDE RD STE 260",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155707",
            "telephone_number": "503-698-4484",
            "fax_number": "503-698-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. SCOTT ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT/ENDODONTIST",
        "authorized_official_telephone_number": "503-698-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D7910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Arthur Moschogianis, DDS
• Jeffrey Ryan Mosher, PSY.D.
• Carrie Mostul, NURSE PRACTITIONER
• Krista Moylan, CRNA
• MP, LLC (Miramont Pointe)
• Mt. Scott Surgery Center, LLC
• Anna A Muchnik, DO
• Karen Smith Mularski
• Richard Anthony Mularski, MD, MCR, MSHS
• Maureen L Mulcahy, M.D.

• Dental Clinic/Center in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Dental Clinic/Center in Oregon

• 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.