NPIMap

Organization Active NPI

Beaverton Periodontics

  • Periodontics
  • Beaverton, OR
National Provider Identifier
1336419787
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D7360 Issued in OR
Legal business name
BEAVERTON PERIODONTICS
Practice address
14500 SW Murray Scholls Dr
Suite #101
Beaverton, OR 97007-9277
Phone
(503) 747-0095
NPI assigned
Jan 3, 2012
Last updated
Jan 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Dr. Duy Anh Tran, DMDNPI 1700846896
Title
President
Phone
(503) 747-0095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X D7360 OR Primary

Addresses

Primary practice location

14500 SW Murray Scholls Dr
Suite #101
Beaverton, OR 97007-9277

Mailing address

14500 SW Murray Scholls Dr
Suite #101
Beaverton, OR 97007-9277
Phone (503) 747-0095

Other names 1

  • Duy Anh Tran, DMD Other name

National Provider Directory

National Provider Directory

Locations

14500 SW Murray Scholls Dr
Ste 101
Beaverton, OR 97007
Phone (503) 521-1333

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.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1336419787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 SW MURRAY SCHOLLS DR",
            "address_2": "SUITE #101",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079277",
            "telephone_number": "503-747-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 SW MURRAY SCHOLLS DR",
            "address_2": "SUITE #101",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079277",
            "telephone_number": "503-747-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVERTON PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "DUY ANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-747-0095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D7360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duy Anh Tran, DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.