Andrei M Mihailescu, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8445 Issued in OR

Practice address

14455 SW Allen Blvd
Suite 103
Beaverton, OR 97005-4428

Phone

(503) 646-2273

Fax

(503) 277-1535

NPI assigned

Apr 20, 2007

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21989/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386862928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11656 SW AUKLET LOOP",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076539",
            "telephone_number": "503-546-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14455 SW ALLEN BLVD",
            "address_2": "SUITE 103",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054428",
            "telephone_number": "503-646-2273",
            "fax_number": "503-277-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHAILESCU",
        "first_name": "ANDREI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Paul Micciche III, R.PH.
• Michael Hutt Couples Therapy, LLC
• Michael L. Underhill, DC, PC
• Abigail Riley Middleton
• Connor George Miers
• Mijo
• Pamela M Mikeworth, M.S. COUNSELOR EDUCA
• Meaghan Mikulic
• Audrey Beth Milam, RDH
• Milan Sosnovec, MD, PC

• General Practice Dentistry in Beaverton, OR
• Providers in Beaverton, 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 Jul 8, 2007; 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.