Emergency Tooth Doctor Downtown,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8300 Issued in OR

Legal business name

EMERGENCY TOOTH DOCTOR DOWNTOWN,P.C.

Practice address

1505 SW Broadway
Portland, OR 97201-3414

Phone

(503) 222-0090

Fax

(503) 222-0101

NPI assigned

Apr 24, 2012

Last updated

Apr 24, 2012By 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

Thomas Pham, DMDNPI 1336148030

Title

Dentist

Phone

(503) 641-2200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Thomas T Pham, DMD

  • General Practice Dentistry
  • Beaverton, OR
  • NPI 1336148030
  Authorized official Same address or phone
• Paria Mazareei, DMD

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1003339375
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1386902757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SW BROADWAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013414",
            "telephone_number": "503-222-0090",
            "fax_number": "503-222-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SW BROADWAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013414",
            "telephone_number": "503-222-0090",
            "fax_number": "503-222-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY TOOTH DOCTOR DOWNTOWN,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-641-2200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Scott Emens, MD
• Emerald Family Medicine LLC
• Emerald Residential LLC
• Emergency and Acute Care Medical Company - Northwest, Inc.
• Emergency and Acute Care Medical Company - Northwest, Inc.
• Emergency Tooth Doctor East, PC (Emergency Tooth Doctor East)
• Emerging Health, LLC
• Paula Emerick, LMFT
• Emeritus Corporation (Brookdale Park Place Tigard)
• Emeritus Corporation (Brookdale Oswego Springs Portland)

• 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 Apr 24, 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.