NPIMap

Organization Active NPI

Bradley E Sievert DMD PC

Doing business as Westlake Family Dentistry

  • Durable Medical Equipment & Medical Supplies
  • Lake Oswego, OR
National Provider Identifier
1407210578
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
D7780 Issued in OR
Legal business name
BRADLEY E SIEVERT DMD PC
Doing business as
Westlake Family Dentistry
Practice address
16016 Boones Ferry Rd
Suite 100
Lake Oswego, OR 97035-4357
Phone
(503) 636-4576
Fax
(503) 697-5069
NPI assigned
Apr 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Bradley E Sievert, DMDNPI 1104963537
Title
Owner/Dentist
Phone
(503) 636-4576

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
Durable Medical Equipment & Medical Supplies 332B00000X D7780 OR Primary

Addresses

Primary practice location

16016 Boones Ferry Rd
Suite 100
Lake Oswego, OR 97035-4357

Mailing address

16016 Boones Ferry Rd
Suite 100
Lake Oswego, OR 97035-4357
Phone (503) 636-4576

Other names 1

  • WESTLAKE FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

16016 Boones Ferry Rd
Ste 100
Lake Oswego, OR 97035
Phone (503) 636-4576

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": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1407210578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16016 BOONES FERRY RD",
            "address_2": "SUITE 100",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354357",
            "telephone_number": "503-636-4576",
            "fax_number": "503-697-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16016 BOONES FERRY RD",
            "address_2": "SUITE 100",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354357",
            "telephone_number": "503-636-4576",
            "fax_number": "503-697-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY E SIEVERT DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "SIEVERT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-636-4576",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "D7780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTLAKE FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.