NPIMap

Organization Active NPI

Brett a. Ueeck DMD, MD, PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Portland, OR
National Provider Identifier
1447525852
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
MD25889 Issued in OR
Legal business name
BRETT A. UEECK DMD, MD, PC
Practice address
11786 SW Barnes Rd Ste 110
Portland, OR 97225-5926
Phone
(503) 924-2323
Fax
(503) 601-0569
NPI assigned
Mar 19, 2012
Organization subpart
Yes
Parent organization
BRETT A. UEECK DMD, MD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Dr. Brett Allen Ueeck, MD, DMD
Title
President
Phone
(503) 924-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X MD25889 OR Primary

Addresses

Primary practice location

11786 SW Barnes Rd Ste 110
Portland, OR 97225-5926

Mailing address

11786 SW Barnes Rd Ste 110
Portland, OR 97225-5926
Phone (503) 924-2323

National Provider Directory

National Provider Directory
Part of
Brett a Ueeck DMD MD PC

Locations

11786 SW Barnes Rd
Ste 110
Portland, OR 97225
Phone (503) 444-6444

Practitioners & affiliated clinicians

Practitioners 6

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": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1447525852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11786 SW BARNES RD STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255926",
            "telephone_number": "503-924-2323",
            "fax_number": "503-601-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11786 SW BARNES RD STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255926",
            "telephone_number": "503-924-2323",
            "fax_number": "503-601-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT A. UEECK DMD, MD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRETT A. UEECK DMD, MD, PC",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "UEECK",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-924-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OR",
            "license": "MD25889",
            "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 Mar 19, 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.