World of Smiles Teen Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

License

D9074 Issued in OR

Legal business name

WORLD OF SMILES TEEN DENTISTRY LLC

Practice address

11790 SW Barnes Rd Ste 220
Portland, OR 97225-5934

Phone

(503) 626-9700

Fax

(503) 626-9772

NPI assigned

Aug 9, 2017

Last updated

Aug 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendi Tjostolvson

Title

Patient Financial Coordinator

Phone

(503) 626-9711

Specialties & licenses 1

Addresses

Locations

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.

• Anastacia M. Whitman, DMD

  • Pediatric Dentistry
  • Portland, OR
  • NPI 1972639623
  NPD (past)

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502236800000",
    "number": "1376068478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4548 N ALBINA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972173010",
            "telephone_number": "503-626-9711",
            "fax_number": "503-894-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD STE 220",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255934",
            "telephone_number": "503-626-9700",
            "fax_number": "503-626-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORLD OF SMILES TEEN DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A",
        "authorized_official_last_name": "TJOSTOLVSON",
        "authorized_official_first_name": "WENDI",
        "authorized_official_title_or_position": "PATIENT FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "503-626-9711"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephani Joy Workman, PSS
• Stephen K Workman, D.C.
• Laura D Works, ARNP
• Tebelnesh Nigist Worku
• World Language Services LLC
• World of Smiles, Pediatric Dentistry LLC
• Kelsey Leigh Worley
• Rhea Worley
• Matt Worlock, LMT
• Tanya R Wormdahl, LMT

• 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 9, 2017; 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.