NPIMap

Organization Active NPI

Careone Dental

  • General Practice Dentistry
  • Happy Valley, OR
National Provider Identifier
1386924090
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE8159 Issued in WA
Legal business name
CAREONE DENTAL
Practice address
10555 SE 82ND Ave
Happy Valley, OR 97086-2374
Phone
(971) 266-4545
NPI assigned
Aug 25, 2011
Last updated
Aug 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Liem DO, DDS
Title
Owner
Phone
(360) 213-9824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE8159 WA Primary

Addresses

Primary practice location

10555 SE 82ND Ave
Happy Valley, OR 97086-2374

Mailing address

13510 NE 84TH St
Suite 105
Vancouver, WA 98682-3092
Phone (360) 213-9824

National Provider Directory

National Provider Directory
Tax ID family
Careone Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10555 SE 82nd Ave
Portland, OR 97086
Phone (503) 344-4633

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1386924090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13510 NE 84TH ST",
            "address_2": "SUITE 105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986823092",
            "telephone_number": "360-213-9824",
            "fax_number": "360-896-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 SE 82ND AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970862374",
            "telephone_number": "971-266-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREONE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "LIEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-213-9824",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.