Individual provider Active NPI

Judah Garfinkle, D.M.D., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Portland, OR
National Provider Identifier
1487771986
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D8195 Issued in OR
Practice address
1820 SW Vermont St Ste O
Portland, OR 97219-1945
Phone
(503) 246-9802
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D8195 OR Primary

Addresses

Primary practice location

1820 SW Vermont St Ste O
Portland, OR 97219-1945

Mailing address

1616 SW Sunset Blvd
Su. G
Portland, OR 97239-2641
Phone (503) 246-9802

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
I20070525000170 OR Practitioner - Oral Surgery 4082711015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D8195ORMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Garfinkle Orthodontics Orthodontics and Dentofacial Orthopedics PastSince Oct 5, 2021 Accepting new patients
University Professional Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jgarfinkle9163@direct.ohsu.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1487771986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 SW SUNSET BLVD",
            "address_2": "SU. G",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392641",
            "telephone_number": "503-246-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SW VERMONT ST STE O",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191945",
            "telephone_number": "503-246-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARFINKLE",
        "first_name": "JUDAH",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D8195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.