Individual provider Active NPI

Jessica Colleen Rice, D.D.S.

  • General Practice Dentistry
  • Lake Oswego, OR
National Provider Identifier
1316292501
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9738 Issued in OR
Practice address
3975 Mercantile Dr
Suite 150
Lake Oswego, OR 97035-3595
Phone
(503) 636-7601
NPI assigned
Jul 13, 2012
Last updated
May 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D9738 OR Primary

Addresses

Primary practice location

3975 Mercantile Dr
Suite 150
Lake Oswego, OR 97035-3595

Mailing address

3975 Mercantile Dr
Suite 150
Lake Oswego, OR 97035-3595
Phone (214) 636-5946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160517002376 OR Order and Referring Only - DentistPractitioner - Dentist 8224327077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9738ORMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1316292501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 MERCANTILE DR",
            "address_2": "SUITE 150",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353595",
            "telephone_number": "214-636-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 MERCANTILE DR",
            "address_2": "SUITE 150",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353595",
            "telephone_number": "503-636-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "JESSICA",
        "middle_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.