Active NPI
Jason Eddie McMillan, DMD
- General Practice Dentistry
- Portland, OR
National Provider Identifier
1437218369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D7798
- Practice address
- 7727 NE Glisan St
Portland, OR 97213-6360 - Phone
- (503) 254-1323
- Fax
- (503) 254-6626
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D7798 | OR | Primary |
Addresses
Primary practice location
7727 NE Glisan St
Portland, OR 97213-6360
Mailing address
7111 SE 34TH Ave
Portland, OR 97202-8303
Phone (503) 772-1022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7798 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437218369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 SE 34TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972028303",
"telephone_number": "503-772-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7727 NE GLISAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972136360",
"telephone_number": "503-254-1323",
"fax_number": "503-254-6626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLAN",
"first_name": "JASON",
"middle_name": "EDDIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D7798",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.