Active NPI
Chirgwin & Herriges, LLC
- Periodontics
- Portland, OR
National Provider Identifier
1467516211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- D8371
- Legal business name
- CHIRGWIN & HERRIGES, LLC
- Practice address
- 1130 SE 122ND Ave
Portland, OR 97233-1112 - Phone
- (503) 252-5515
- Fax
- (503) 255-1625
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brock D Herriges, DMD
- Title
- Partner
- Phone
- (503) 252-5515
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | D8371 | OR | Primary |
Addresses
Primary practice location
1130 SE 122ND Ave
Portland, OR 97233-1112
Mailing address
1130 SE 122ND Ave
Portland, OR 97233-1112
Phone (503) 252-5515
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Portland, OR
- NPI 1942427216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467516211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 SE 122ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972331112",
"telephone_number": "503-252-5515",
"fax_number": "503-255-1625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 SE 122ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972331112",
"telephone_number": "503-252-5515",
"fax_number": "503-255-1625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIRGWIN & HERRIGES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HERRIGES",
"authorized_official_first_name": "BROCK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "503-252-5515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "OR",
"license": "D8371",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.