Individual provider Active NPI

Adam Francois, DMD

  • General Practice Dentistry
  • Sherwood, OR
National Provider Identifier
1497904775
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7089 Issued in OR
Practice address
15962 SW Tualatin Sherwood Rd
Sherwood, OR 97140-8690
Phone
(503) 625-3767
Fax
(503) 625-6956
NPI assigned
Sep 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D7089 OR Primary

Addresses

Primary practice location

15962 SW Tualatin Sherwood Rd
Sherwood, OR 97140-8690

Mailing address

15962 SW Tualatin Sherwood Rd
Sherwood, OR 97140-8690

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
I20150716001276 OR Order and Referring Only - DentistPractitioner - Dentist 9638482995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7089ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kristan D Rodriguez DDS LLC PastSince Sep 15, 2024 Accepting new patients
Sherwood Dental Care PC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1497904775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15962 SW TUALATIN SHERWOOD RD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15962 SW TUALATIN SHERWOOD RD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408690",
            "telephone_number": "503-625-3767",
            "fax_number": "503-625-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCOIS",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

Verify at the official NPI Registry.