Organization Active NPI

Lincoln Dental, PC

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1356508014
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8331 Issued in OR
Legal business name
LINCOLN DENTAL, PC
Practice address
2101 SE Cesar E. Chavez Blvd.
Portland, OR 97214
Phone
(503) 234-6148
Fax
(503) 233-8588
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Dr. D Hamilton Sims, D.M.D.
Title
Owner/Dentist
Phone
(503) 234-6148

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D8331 OR Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D8631 OR

Addresses

Primary practice location

2101 SE Cesar E. Chavez Blvd.
Portland, OR 97214

Mailing address

2101 SE Cesar E. Chavez Blvd.
Portland, OR 97214
Phone (503) 234-6148

National Provider Directory

National Provider Directory

Locations

2101 SE Cesar E Chavez Blvd
Portland, OR 97214
Phone (503) 234-6148

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1356508014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 SE CESAR E. CHAVEZ BLVD.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97214",
            "telephone_number": "503-234-6148",
            "fax_number": "503-233-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SE CESAR E. CHAVEZ BLVD.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97214",
            "telephone_number": "503-234-6148",
            "fax_number": "503-233-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "HAMILTON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-234-6148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8331",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8631",
            "primary": false
        }
    ],
    "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 24, 2016; 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.