Organization Active NPI

Healthy Dental,PC

  • General Practice Dentistry
  • Hillsboro, OR
National Provider Identifier
1457716060
Registry record updated Dec 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9973 Issued in OR
Legal business name
HEALTHY DENTAL,PC
Practice address
2501 NW 229TH Ave
Hillsboro, OR 97124-5506
Phone
(650) 400-4439
NPI assigned
Dec 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2015

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

Authorized official

Name
Dr. Leighton Thomas Miller, DDS
Title
Dentist
Phone
(714) 588-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D9973 OR Primary

Addresses

Primary practice location

2501 NW 229TH Ave
Hillsboro, OR 97124-5506

Mailing address

85 Argonaut
Suite #220
Aliso Viejo, CA 92656-4132
Phone (714) 588-9094

Other identifiers 2

IdentifierTypeStateIssuer
1366460545OtherORHEALTH CARE
1295168938OtherORHEALTH CARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1450915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450915200000",
    "number": "1457716060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ARGONAUT",
            "address_2": "SUITE #220",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564132",
            "telephone_number": "714-588-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 NW 229TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245506",
            "telephone_number": "650-400-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY DENTAL,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-24",
        "last_updated": "2015-12-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LEIGHTON",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-588-9094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE",
            "identifier": "1366460545",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE",
            "identifier": "1295168938",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2015; 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.