Active NPI
Thomas Jared Houghton, D.M.D
- General Practice Dentistry
- Clackamas, OR
National Provider Identifier
1467837831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D10318
- Practice address
- 13023 SE 84TH Ave Ste a
Clackamas, OR 97015 - Phone
- (503) 353-9992
- Fax
- (503) 513-0747
- NPI assigned
- Jul 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D10318 | OR | Primary |
Addresses
Primary practice location
13023 SE 84TH Ave Ste a
Clackamas, OR 97015
Mailing address
14201 NE 20TH Ave Ste B200
Vancouver, WA 98686-6412
Phone (360) 571-8181
Other practice location 1
2038 Lloyd Ctr
Portland, OR 97232-1309
Phone (360) 449-5618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170106001406 | OR | Order and Referring Only - Dentist | 4183905011 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1467837831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 NE 20TH AVE STE B200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986866412",
"telephone_number": "360-571-8181",
"fax_number": "360-573-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13023 SE 84TH AVE STE A",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "97015",
"telephone_number": "503-353-9992",
"fax_number": "503-513-0747"
}
],
"practiceLocations": [
{
"address_1": "2038 Lloyd Ctr",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972321309",
"country_code": "US",
"telephone_number": "360-449-5618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUGHTON",
"first_name": "THOMAS",
"middle_name": "JARED",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-27",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D10318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.