Active NPI
Dental Health Associates PC
- General Practice Dentistry
- Portland, OR
National Provider Identifier
1306983010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D6152
- Legal business name
- DENTAL HEALTH ASSOCIATES PC
- Practice address
- 1133 SE 122ND Ave
Portland, OR 97233-1111 - Phone
- (503) 252-1722
- Fax
- (503) 293-0902
- NPI assigned
- Jan 31, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc F Bianco, DMD
- Title
- President of Corporation
- Phone
- (503) 252-1722
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D6152 | OR | Primary |
Addresses
Primary practice location
1133 SE 122ND Ave
Portland, OR 97233-1111
Mailing address
1133 SE 122ND Ave
Dental Health Associates PC
Portland, OR 97233-1111
Phone (503) 252-1722
National Provider Directory
National Provider DirectoryLocations
1133 SE 122nd Ave
Portland, OR 97233
Phone (503) 252-1722
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.
-
- General Practice Dentistry
- Portland, OR
- NPI 1073633368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306983010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 SE 122ND AVE",
"address_2": "DENTAL HEALTH ASSOCIATES PC",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972331111",
"telephone_number": "503-252-1722",
"fax_number": "503-293-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 SE 122ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972331111",
"telephone_number": "503-252-1722",
"fax_number": "503-293-0902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL HEALTH ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BIANCO",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
"authorized_official_telephone_number": "503-252-1722",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D6152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- 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.