NE Dental Associates

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5566 Issued in OR

Legal business name

NE DENTAL ASSOCIATES

Practice address

2525 NE Broadway St
Suite 200
Portland, OR 97232-1635

Phone

(503) 234-7870

Fax

(503) 236-9001

NPI assigned

Nov 30, 2010

Organization subpart

No

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

Authorized official

Name

Denise Ortiz

Title

Admin Asst

Phone

(503) 234-7870

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1487956223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 NE BROADWAY ST",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321635",
            "telephone_number": "503-234-7870",
            "fax_number": "503-236-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NE BROADWAY ST",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321635",
            "telephone_number": "503-234-7870",
            "fax_number": "503-236-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADMIN ASST",
        "authorized_official_telephone_number": "503-234-7870"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "5566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NCFC
• NCNM Clinic
• Fanna Ndow
• David N Nduru
• NE 82ND Avenue Dental LLC
• Neal Allan Dunitz, MD
• Cassidy Anne Neal
• Edward Neal, MD
• Jaden Makena Neal
• Lacy Neal, LPN

• Dental Clinic/Center in Portland, OR
• Providers in Portland, 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 30, 2010; 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.