NPIMap

Organization Active NPI

Kumar Dental Group

  • Dentist
  • Beaverton, OR
National Provider Identifier
1437264306
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D7769 Issued in OR
Legal business name
KUMAR DENTAL GROUP
Doing business as
Smile Dental
Practice address
12450B SW Pioneer Lane
Beaverton, OR 97008
Phone
(503) 590-8883
Fax
(503) 590-0955
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Samir Kishor Kumar, DDSNPI 1790017804
Title
Owner
Phone
(503) 590-8883

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D7769 OR Primary

Addresses

Primary practice location

12450B SW Pioneer Lane
Beaverton, OR 97008

Mailing address

12450B SW Pioneer Lane
Beaverton, OR 97008
Phone (503) 590-8883

Other names 1

  • Smile Dental Doing business as

National Provider Directory

National Provider Directory

Locations

12450 SW Pioneer Ln
Ste B
Beaverton, OR 97008
Phone (503) 590-8883

Practitioners & affiliated clinicians

Practitioners 3

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1437264306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450B SW PIONEER LANE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97008",
            "telephone_number": "503-590-8883",
            "fax_number": "503-590-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450B SW PIONEER LANE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97008",
            "telephone_number": "503-590-8883",
            "fax_number": "503-590-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMAR DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "KISHOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-590-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D7769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Dental",
            "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 Jul 24, 2008; 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.