Zola Dental Portland LLC, Dr. Anthony Paventy,DMD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ZOLA DENTAL PORTLAND LLC, DR. ANTHONY PAVENTY,DMD

Doing business as

Cloud Nine Dental

Practice address

8285 SW Nimbus Ave Ste 185
Beaverton, OR 97008-6465

Phone

(503) 646-1931

Fax

(503) 520-1205

NPI assigned

Oct 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Michael Yesenofski, DDS

Title

Associate Dentist

Phone

(503) 646-1931

Specialties & licenses 1

Addresses

Other names 1

• Cloud Nine Dental Doing business as

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1487318416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 SW NIMBUS AVE STE 185",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086465",
            "telephone_number": "503-646-1931",
            "fax_number": "503-520-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 SW NIMBUS AVE STE 185",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086465",
            "telephone_number": "503-646-1931",
            "fax_number": "503-520-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOLA DENTAL PORTLAND LLC, DR. ANTHONY PAVENTY,DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "YESENOFSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ASSOCIATE DENTIST",
        "authorized_official_telephone_number": "503-646-1931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cloud Nine Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cloud Nine Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zainab Ziaei
• Jamie Ziemba
• Caleb Zimmerman, DPT
• Ronald Zirkle, D.D.S.
• Jennifer Lois Zitomer, RN,BSN; MA
• Betty Zondervan, RN
• ZRT Laboratory LLC
• Zui of Chiropractic LLC
• Joanna Renee Zumbrun, PHARMD
• Adelfino J Zuriaga

• Dental Clinic/Center in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.