Evergreen Hospital Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

EVERGREEN HOSPITAL DENTISTRY

Practice address

8568 SW Apple Way
Portland, OR 97225-1772

Phone

(503) 662-8463

NPI assigned

Aug 24, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin James, DDS

Title

Owner

Phone

(503) 662-8463

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724457600000",
    "number": "1346073210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 SE BARBERRY AVE",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381974",
            "telephone_number": "503-662-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8568 SW APPLE WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251772",
            "telephone_number": "503-662-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HOSPITAL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-662-8463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Everett, LCSW
• Evergreen Ambulance
• Evergreen Clinical
• Evergreen Counseling LLC
• Evergreen Health LLC
• Evergreen Integrative Medicine, LLC
• Evergreen Medical Solutions LLC
• Evergreen Oregon Healthcare Portland, L.L.C.
• Evergreen Pelvic Health and Wellness LLC
• Evergreen Pharmaceutical LLC

• Dentist in Portland, OR
• Providers in Portland, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; 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.