Active NPI
Azita Shahgaldi DMD LLC
- Dental Clinic/Center
- Portland, OR
National Provider Identifier
1376889758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- D9511
- Legal business name
- AZITA SHAHGALDI DMD LLC
- Practice address
- 9600 SW Capitol Hwy
140
Portland, OR 97219-5295 - Phone
- (503) 246-7999
- Fax
- (503) 546-2976
- NPI assigned
- Dec 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Azita Shahgaldi
- Title
- Dentist
- Phone
- (503) 246-7999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | D9511 | OR | Primary |
Addresses
Primary practice location
9600 SW Capitol Hwy
140
Portland, OR 97219-5295
Mailing address
9600 SW Capitol Hwy
140
Portland, OR 97219-5295
Phone (503) 246-7999
National Provider Directory
National Provider DirectoryLocations
9600 SW Capitol Hwy
Ste 140
Portland, OR 97219
Phone (503) 246-7999
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- General Practice Dentistry
- Portland, OR
- NPI 1588268346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355270400000",
"number": "1376889758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 SW CAPITOL HWY",
"address_2": "140",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972195295",
"telephone_number": "503-246-7999",
"fax_number": "503-546-2976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 SW CAPITOL HWY",
"address_2": "140",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972195295",
"telephone_number": "503-246-7999",
"fax_number": "503-546-2976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZITA SHAHGALDI DMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-12",
"last_updated": "2012-12-12",
"status": "A",
"authorized_official_last_name": "SHAHGALDI",
"authorized_official_first_name": "AZITA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "503-246-7999"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "OR",
"license": "D9511",
"primary": true
}
],
"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 Dec 12, 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.