Organization Active NPI

Scott L. Barry, DMD, PC

Doing business as Advanced Endodontics

  • Endodontics
  • Portland, OR
National Provider Identifier
1396259040
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D7294 Issued in OR
Legal business name
SCOTT L. BARRY, DMD, PC
Doing business as
Advanced Endodontics
Practice address
9020 SW Washington Square Rd Ste 570
Portland, OR 97223-4477
Phone
(503) 718-0095
NPI assigned
Nov 16, 2017
Last updated
Nov 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Scott L BarryNPI 1811939036
Title
Owner
Phone
(503) 319-4094

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)CodeLicenseStatePrimary
Endodontics 1223E0200X D7294 OR Primary

Addresses

Primary practice location

9020 SW Washington Square Rd Ste 570
Portland, OR 97223-4477

Mailing address

9020 SW Washington Square Rd Ste 570
Portland, OR 97223-4477
Phone (503) 718-0095

Other names 1

  • ADVANCED ENDODONTICS Doing business as

National Provider Directory

National Provider Directory

Locations

9020 SW Washington Square Rd
Ste 570
Tigard, OR 97223
Phone (503) 718-0095

Practitioners & affiliated clinicians

Practitioners 3

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": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1396259040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 SW WASHINGTON SQUARE RD STE 570",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972234477",
            "telephone_number": "503-718-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 SW WASHINGTON SQUARE RD STE 570",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972234477",
            "telephone_number": "503-718-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT L. BARRY, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-319-4094"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D7294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED ENDODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.