Macadam Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7954 Issued in OR

Legal business name

MACADAM DENTAL

Practice address

5331 SW Macadam Ave
Suite 254
Portland, OR 97239-6104

Phone

(503) 243-6111

Fax

(503) 243-5201

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kevin R Morich, DMDNPI 1962596411

Title

Dentist

Phone

(503) 243-6111

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Richard Morich, D.M.D.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1962596411
  NPD (past) Authorized official
• Cheyeon Lee, DMD

  • Dentist
  • Portland, OR
  • NPI 1053983049
  NPD (past)
• Jodi Kirsten Morich, D.M.D.

  • Dentist
  • Portland, OR
  • NPI 1336375807
  NPD (past)
• Norma Santiago Hernandez, RDH, BSDH, EPDH

  • Dental Hygienist
  • Tigard, OR
  • NPI 1063188738
  NPD (past)

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1386811719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 SW MACADAM AVE",
            "address_2": "SUITE 254",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396104",
            "telephone_number": "503-243-6111",
            "fax_number": "503-243-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 SW MACADAM AVE",
            "address_2": "SUITE 254",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396104",
            "telephone_number": "503-243-6111",
            "fax_number": "503-243-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACADAM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MORICH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-243-6111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Maas, PH.D
• Pido Tran Maas, OT
• Mabodywork, LLC
• Jasmin Mabry
• Madison Marie Mabry, PAC
• Macadam Eye Care, P.C.
• Molly Anne Macalpine
• Jessica Erin Macaluso, LPN
• Richard Macaluso, PTA
• Carol Jeanne Macarthur, MD

• 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 May 14, 2008; 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.