NPIMap

Organization Active NPI

Arrow Dental LLC

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1457066136
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ARROW DENTAL LLC
Practice address
2520 SE 145TH Ave Ste C
Portland, OR 97236-2671
Phone
(503) 653-4093
Fax
(503) 653-4891
NPI assigned
Jan 17, 2023
Last updated
Jan 17, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ARROW DENTAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Aimee Breon
Title
Director
Phone
(541) 868-6726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2520 SE 145TH Ave Ste C
Portland, OR 97236-2671

Mailing address

10505 SE 17TH Ave
Milwaukie, OR 97222-7475
Phone (541) 868-6726

National Provider Directory

National Provider Directory
Tax ID family
Arrow Dental LLC10 organizations share this tax ID, including this one
Part of
Arrow Dental LLC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2520 SE 145th Ave
Ste C
Portland, OR 97236
Phone (503) 653-4093

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1457066136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 SE 17TH AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227475",
            "telephone_number": "541-868-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SE 145TH AVE STE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362671",
            "telephone_number": "503-653-4093",
            "fax_number": "503-653-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROW DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARROW DENTAL LLC",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "BREON",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-868-6726"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Jan 17, 2023; 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.