Joel N Fast, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010671 Issued in WA

Practice address

20673 SW Roy Rogers Rd
Ste. 201
Sherwood, OR 97140-9222

Phone

(503) 925-0588

Fax

(503) 925-0418

NPI assigned

Feb 14, 2007

Last updated

Jun 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joel Fast DMD LLC

  • Dental Clinic/Center
  • Beaverton, OR
  • NPI 1205789518
  NPD Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1467595363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20673 SW ROY ROGERS RD",
            "address_2": "STE. 201",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409222",
            "telephone_number": "503-925-0588",
            "fax_number": "503-925-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20673 SW ROY ROGERS RD",
            "address_2": "STE. 201",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409222",
            "telephone_number": "503-925-0588",
            "fax_number": "503-925-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAST",
        "first_name": "JOEL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5051677",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES ID #",
            "identifier": "0214008",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Firew Sisay Endale
• Elise M Enger, MSOTR/L
• Avery J Esau, DMD
• Eye Impressions, LLC
• Christina Farias, PHARMD
• Elisabetta Paderi Fernandez
• Robert Edwin Fisher, NP
• Kendra Flann, D.M.D
• Jacob Lee Folsom
• Ashley Forsman

• General Practice Dentistry in Sherwood, OR
• Providers in Sherwood, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.