Northwest Periodontics and Dental Implants LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORTHWEST PERIODONTICS AND DENTAL IMPLANTS LLC

Practice address

2525 NW Lovejoy St Ste 100
Portland, OR 97210-2861

Phone

(503) 222-2844

Fax

(503) 222-4001

NPI assigned

Oct 4, 2022

Organization subpart

No

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

Authorized official

Name

Sarah Lee

Title

Financial Coordinator

Phone

(503) 222-2844

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Robert Hovey, DMD, MS

  • Periodontics
  • Portland, OR
  • NPI 1194789198
  NPD
• Patrick James Corning, D.M.D., MS

  • Dentist
  • Portland, OR
  • NPI 1063763167
  NPD (past)

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1457075350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 NW LOVEJOY ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102861",
            "telephone_number": "503-222-2844",
            "fax_number": "503-222-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NW LOVEJOY ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102861",
            "telephone_number": "503-222-2844",
            "fax_number": "503-222-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PERIODONTICS AND DENTAL IMPLANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "503-222-2844"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@nwperioimplant.com",
            "affiliation": "N",
            "endpointDescription": "office@nwperioimplant.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2525 NW Lovejoy St Ste 100",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972102861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Northwest Pediatric Kidney Specialists LLC
• Northwest Permanente
• Northwest Permanente, P.C.
• Northwest Physical Therapy Care, LLC
• Northwest Primary Care Group PC
• Northwest Primary Care Group PC

• Dental Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.