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
- 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.
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.