Individual provider Active NPI

Thomas Jared Houghton, D.M.D

  • General Practice Dentistry
  • Clackamas, OR
National Provider Identifier
1467837831
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10318 Issued in OR
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

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170106001406 OR Order and Referring Only - DentistPractitioner - 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

Verify at the official NPI Registry.