Organization Active NPI

Thomas J Flath DMD PC

  • Dentist
  • Portland, OR
National Provider Identifier
1467797225
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THOMAS J FLATH DMD PC
Practice address
2075 SW First Ave Ste 2M
Portland, OR 97201-5314
Phone
(503) 720-2337
NPI assigned
Dec 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Thomas Flath
Title
Owner
Phone
(503) 720-2337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2075 SW First Ave Ste 2M
Portland, OR 97201-5314

Mailing address

4647 SW Cullen Blvd
Portland, OR 97221-2965

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1467797225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 SW CULLEN BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SW FIRST AVE STE 2M",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015314",
            "telephone_number": "503-720-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J FLATH DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "FLATH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-720-2337"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "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 Dec 5, 2012; 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.