Active NPI
Kevin Dao, MD, MPH, MAPS, LPC
- Mental Health Counselor
- Beaverton, OR
National Provider Identifier
1477108744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 12655 SW Center St Ste 100
Beaverton, OR 97005-1600 - Phone
- (850) 766-5905
- NPI assigned
- Aug 5, 2019
- Last updated
- Aug 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
12655 SW Center St Ste 100
Beaverton, OR 97005-1600
Mailing address
7543 SW 195TH PL
Beaverton, OR 97007-5520
Phone (850) 766-5905
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Theranest | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1477108744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7543 SW 195TH PL",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970075520",
"telephone_number": "850-766-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12655 SW CENTER ST STE 100",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051600",
"telephone_number": "850-766-5905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAO",
"first_name": "KEVIN",
"credential": "MD, MPH, MAPS, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-05",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Theranest",
"affiliation": "N",
"endpointDescription": "Electronic EHR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12655 SW Center St Ste 100",
"city": "Beaverton",
"state": "OR",
"country_code": "US",
"postal_code": "970051600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.