NPIMap

Organization Active NPI

Arrow Dental LLC

  • Dentist
  • Portland, OR
National Provider Identifier
1477041267
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ARROW DENTAL LLC
Practice address
601 SW Second Avenue
Portland, OR 97204-3156
Phone
(503) 412-4194
Fax
(503) 952-5259
NPI assigned
Apr 26, 2018
Last updated
Apr 26, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ARROW DENTAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Teri Barichello, DMD
Title
VP Dental/Chief Dental Officer
Phone
(503) 412-4198

Specialties & licenses 1

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

Addresses

Primary practice location

601 SW Second Avenue
Portland, OR 97204-3156

Mailing address

601 SW Second Avenue
Portland, OR 97204-3156
Phone (503) 412-4194

Other names 1

  • Arrow Dental - Portable Other name

National Provider Directory

National Provider Directory
Tax ID family
Arrow Dental LLC10 organizations share this tax ID, including this one
Part of
Arrow Dental LLC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1477041267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SW SECOND AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043156",
            "telephone_number": "503-412-4194",
            "fax_number": "503-952-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SW SECOND AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043156",
            "telephone_number": "503-412-4194",
            "fax_number": "503-952-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROW DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARROW DENTAL LLC",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "BARICHELLO",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "VP DENTAL/CHIEF DENTAL OFFICER",
        "authorized_official_telephone_number": "503-412-4198",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arrow Dental - Portable",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 26, 2018; 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.