Individual provider Active NPI

Ryan J. Voge, D.M.D.

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1508173345
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9463 Issued in OR
Practice address
1221 SW Yamhill St Ste 310
Portland, OR 97205-2110
Phone
(503) 227-0958
Fax
(503) 222-4685
NPI assigned
Aug 31, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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 D9463 OR Primary

Addresses

Primary practice location

1221 SW Yamhill St Ste 310
Portland, OR 97205-2110

Mailing address

2442 NW Westover Rd Unit 102
Portland, OR 97210-3763
Phone (503) 894-8148

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
I20120327000755 OR Order and Referring Only - DentistPractitioner - Dentist 8123288297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Dental Associates LLP Past Accepting new patients

Organizations & group practices 1

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": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1508173345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 NW WESTOVER RD UNIT 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103763",
            "telephone_number": "503-894-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SW YAMHILL ST STE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052110",
            "telephone_number": "503-227-0958",
            "fax_number": "503-222-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGE",
        "first_name": "RYAN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.