Organization Active NPI

Northwest Endodontics, PC

  • Endodontics
  • Aloha, OR
National Provider Identifier
1487819116
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D7495 Issued in OR
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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.NPI 1619974847
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.