Active NPI
Pamela J Hughes, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Portland, OR
National Provider Identifier
1497727911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- D10113
- Practice address
- 2730 SW Moody Ave
Portland, OR 97201-5042 - Phone
- (503) 494-4461
- NPI assigned
- Feb 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D10113 | OR | Primary |
Addresses
Primary practice location
2730 SW Moody Ave
Portland, OR 97201-5042
Mailing address
2730 SW Moody Ave
Portland, OR 97201-5042
Phone (503) 494-4461
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10113 | OR | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Maxillofacial and Oral Surgery PA | Past | Accepting new patients | |
| Northern Star Oral and Maxillofacial Surgery PLLC | Past | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
Organizations & group practices 4
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Minneapolis, MN
- NPI 1821010497
-
- Oral and Maxillofacial Surgery Clinic/Center
- St Louis Park, MN
- NPI 1699901140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1497727911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 SW MOODY AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015042",
"telephone_number": "503-494-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 SW MOODY AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015042",
"telephone_number": "503-494-4461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "PAMELA",
"middle_name": "J",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "OR",
"license": "D10113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.