Organization Active NPI

Azita Shahgaldi DMD LLC

  • Dental Clinic/Center
  • Portland, OR
National Provider Identifier
1376889758
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D9511 Issued in OR
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

Updated by the provider on Dec 12, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.