Active NPI
Jared M. Thompson, DMD, LLC
- General Practice Dentistry
- Forest Grove, OR
National Provider Identifier
1396014338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D8734
- Legal business name
- JARED M. THOMPSON, DMD, LLC
- Doing business as
- Pacific Oak Dental
- Practice address
- 2031 Hawthorne St Ste a
Forest Grove, OR 97116-1700 - Phone
- (503) 357-9122
- NPI assigned
- Dec 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jared Michael Thompson, DMD
- Title
- Managing Member
- Phone
- (503) 357-9122
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D8734 | OR | Primary |
Addresses
Primary practice location
2031 Hawthorne St Ste a
Forest Grove, OR 97116-1700
Mailing address
2031 Hawthorne St Ste a
Forest Grove, OR 97116-1700
Phone (503) 357-9122
Other names 1
- Pacific Oak Dental
National Provider Directory
National Provider DirectoryLocations
2031 Hawthorne St
Ste A
Forest Grove, OR 97116
Phone (503) 351-9043
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Forest Grove, OR
- NPI 1649283235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324339200000",
"number": "1396014338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 HAWTHORNE ST STE A",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971161700",
"telephone_number": "503-357-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2031 HAWTHORNE ST STE A",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971161700",
"telephone_number": "503-357-9122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JARED M. THOMPSON, DMD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-20",
"last_updated": "2011-12-20",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "JARED",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "503-357-9122",
"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": "D8734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific Oak Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Forest Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.