NPIMap

Organization Active NPI

Dutro Dental

  • Dentist
  • Hillsboro, OR
National Provider Identifier
1417311564
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6680 Issued in OR
Legal business name
DUTRO DENTAL
Practice address
5840 NE Cornell Rd
Hillsboro, OR 97124-9000
Phone
(503) 648-3212
Fax
(503) 648-2864
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
Sandra McDowall
Title
Office Manager
Phone
(503) 648-3212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D6680 OR Primary

Addresses

Primary practice location

5840 NE Cornell Rd
Hillsboro, OR 97124-9000

Mailing address

5840 NE Cornell Rd
Hillsboro, OR 97124-9000
Phone (503) 648-3212

National Provider Directory

National Provider Directory

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": "1417311564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 NE CORNELL RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249000",
            "telephone_number": "503-648-3212",
            "fax_number": "503-648-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 NE CORNELL RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249000",
            "telephone_number": "503-648-3212",
            "fax_number": "503-648-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTRO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "MCDOWALL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-648-3212"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D6680",
            "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 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.