Samuel J Higdon DDS PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SAMUEL J HIGDON DDS PC

Practice address

2250 NW Flanders St Ste 111
Portland, OR 97210-5409

Phone

(503) 227-4844

NPI assigned

Dec 14, 2017

Organization subpart

No

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

Authorized official

Name

Samuel Higdon, DDSNPI 1295796738

Title

Owner

Phone

(503) 227-4844

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Higdon, D.D.S.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1295796738
  NPD Authorized official

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1467967372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST STE 111",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105409",
            "telephone_number": "503-227-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST STE 111",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105409",
            "telephone_number": "503-227-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL J HIGDON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "HIGDON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-227-4844",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn McCoy Samsom
• Catherine Lott Samson, PMHNP-BC
• Liza Samson, MD
• Samuel D Seo, DMD, PC
• Samuel G Shiley MD LLC
• Samuel T Wells, DMD, LLC
• Samuel V Bartholomew MD PC
• Helen Samuel
• Nathan David Samuel, AGACNP
• Deborah Samuels, L. P. C.

• Customized Equipment (DME) in Portland, OR
• Providers in Portland, OR by specialty
• Customized Equipment (DME) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.