NPIMap

Organization Active NPI

Smith Dental LLC

  • Dental Clinic/Center
  • Hillsboro, OR
National Provider Identifier
1396083739
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6483 Issued in OR
Legal business name
SMITH DENTAL LLC
Practice address
620 SE Oak St
Suite C
Hillsboro, OR 97123-4160
Phone
(503) 693-7301
Fax
(503) 648-1958
NPI assigned
Jan 18, 2013
Last updated
Jan 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Dr. Ryan Michael Smith, DDSNPI 1932462983
Title
Manager
Phone
(503) 693-7301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6483 OR Primary

Addresses

Primary practice location

620 SE Oak St
Suite C
Hillsboro, OR 97123-4160

Mailing address

620 SE Oak St
Suite C
Hillsboro, OR 97123-4160
Phone (503) 693-7301

National Provider Directory

National Provider Directory
Tax ID family
Mitra Gaspeed2 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

620 SE Oak St
Ste C
Hillsboro, OR 97123
Phone (503) 693-7301

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1396083739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SE OAK ST",
            "address_2": "SUITE C",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234160",
            "telephone_number": "503-693-7301",
            "fax_number": "503-648-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SE OAK ST",
            "address_2": "SUITE C",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234160",
            "telephone_number": "503-693-7301",
            "fax_number": "503-648-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-693-7301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "6483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.