Alyse Marie D'Ambrosia, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9933 Issued in OR

Practice address

1221 SW Yamhill St
Suite 310
Portland, OR 97205-2126

Phone

(503) 227-0958

NPI assigned

Aug 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 16, 2020 through Jan 16, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Downtown Dental Associates LLP

  • Dentist
  • Portland, OR
  • NPI 1538174289
  NPD (past)

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1366876757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW RIVER PKWY",
            "address_2": "APT #339",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394553",
            "telephone_number": "775-560-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SW YAMHILL ST",
            "address_2": "SUITE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052126",
            "telephone_number": "503-227-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMBROSIA",
        "first_name": "ALYSE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan M D'Aguiar
• Avery D'Alessandro, MSW
• Skyye D'Allyn
• Charles Roland D'Amato, MD
• Victoria Marie D'Ambrogi, RN
• Dana Marie D'Amico, LMT
• Salvatore Michael D'Amico
• Lara Simone D'Amore
• Magda Christina D'Angelis-Morris, D.M.D.
• Michael D D'Angelo, MA, LMFT-A

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.