Cedar Hills Dentistry for Kids LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CEDAR HILLS DENTISTRY FOR KIDS LLC

Practice address

1600 SW Cedar Hills Blvd
109
Portland, OR 97225-5439

Phone

(503) 642-1535

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Hai Pham

Title

President

Phone

(503) 642-1535

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1437417235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18325 SW ALEXANDER ST",
            "address_2": "SUITE 2",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970063958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW CEDAR HILLS BLVD",
            "address_2": "109",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255439",
            "telephone_number": "503-642-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILLS DENTISTRY FOR KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-642-1535"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Ceciliani
• Denny Cecilio Guzman
• Cedar Creek Internal Medicine,PC
• Cedar Hills Ambulatory Surgery Center LLC
• Cedar Hills Dental Care
• Cedar Hills Legacy Dental LLC
• Cedar Hills Vision Clinic Inc
• Cedar Midwifery, LLC
• Cedar Mill Family Chiropractic Inc
• Cedar Path Counseling LLC

• Pediatric Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.