Organization Active NPI

Roy F Dornsife

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Beaverton, OR
National Provider Identifier
1396884052
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D7124 Issued in OR
Legal business name
ROY F DORNSIFE
Practice address
8625 SW Cascade Ave
Suite 105
Beaverton, OR 97008
Phone
(503) 643-8848
Fax
(503) 350-1974
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roy F Dronsife, DMD
Title
Orthodontist
Phone
(503) 643-8848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X D7124 OR Primary

Addresses

Primary practice location

8625 SW Cascade Ave
Suite 105
Beaverton, OR 97008

Mailing address

8625 SW Cascade Ave
Suite 105
Beaverton, OR 97008
Phone (503) 643-8848

Other names 1

  • Northwest Orthodontic Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

8625 SW Cascade Ave
Ste 105
Beaverton, OR 97008
Phone (503) 643-8848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396884052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 SW CASCADE AVE",
            "address_2": "SUITE 105",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97008",
            "telephone_number": "503-643-8848",
            "fax_number": "503-350-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 SW CASCADE AVE",
            "address_2": "SUITE 105",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97008",
            "telephone_number": "503-643-8848",
            "fax_number": "503-350-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY F DORNSIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRONSIFE",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "503-643-8848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D7124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Orthodontic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.