Active NPI
Northwest Endodontics, PC
- Endodontics
- Aloha, OR
National Provider Identifier
1487819116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D7495
- Legal business name
- NORTHWEST ENDODONTICS, PC
- Practice address
- 18395 SW Alexander St
Aloha, OR 97006-3961 - Phone
- (503) 642-4552
- Fax
- (503) 591-0202
- NPI assigned
- Jul 22, 2008
- Last updated
- Jul 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul David Brent, D.D.S.
- Title
- Owner
- Phone
- (503) 642-4552
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | D7495 | OR | Primary |
Addresses
Primary practice location
18395 SW Alexander St
Aloha, OR 97006-3961
Mailing address
18395 SW Alexander St
Aloha, OR 97006-3961
Phone (503) 642-4552
National Provider Directory
National Provider DirectoryLocations
18395 SW Alexander St
Aloha, OR 97003
Phone (503) 642-4552
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Endodontics
- Aloha, OR
- NPI 1619974847
-
- Endodontics
- Aloha, OR
- NPI 1679730790
-
- Endodontics
- Aloha, OR
- NPI 1326277708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216684800000",
"number": "1487819116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18395 SW ALEXANDER ST",
"city": "ALOHA",
"state": "OR",
"postal_code": "970063961",
"telephone_number": "503-642-4552",
"fax_number": "503-591-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18395 SW ALEXANDER ST",
"city": "ALOHA",
"state": "OR",
"postal_code": "970063961",
"telephone_number": "503-642-4552",
"fax_number": "503-591-0202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST ENDODONTICS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-22",
"last_updated": "2008-07-22",
"status": "A",
"authorized_official_last_name": "BRENT",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-642-4552",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OR",
"license": "D7495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aloha, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.