Active NPI
Dr Dentists Housecalls
- Dentist
- Portland, OR
National Provider Identifier
1396337762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DR DENTISTS HOUSECALLS
- Practice address
- 5835 N . Interstate Ave
Portland, OR 97217 - Phone
- (503) 285-5307
- Fax
- (503) 285-3462
- NPI assigned
- Feb 8, 2021
- 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
- Edward E. Ward, DMD
- Title
- Dentist/Ceo
- Phone
- (503) 285-5307
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 |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
5835 N . Interstate Ave
Portland, OR 97217
Mailing address
5835 N . Interstate Ave
Portland, OR 97217
Phone (503) 285-5307
National Provider Directory
National Provider DirectoryLocations
5835 N Interstate Ave
Portland, OR 97217
Phone (503) 285-5307
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
- Portland, OR
- NPI 1871590877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612742400000",
"number": "1396337762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5835 N . INTERSTATE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97217",
"telephone_number": "503-285-5307",
"fax_number": "503-285-3462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5835 N . INTERSTATE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97217",
"telephone_number": "503-285-5307",
"fax_number": "503-285-3462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR DENTISTS HOUSECALLS",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-08",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "DENTIST/CEO",
"authorized_official_telephone_number": "503-285-5307",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.