NPIMap

Organization Active NPI

Mitra Gaspeed

  • Dental Hygienist
  • Beaverton, OR
National Provider Identifier
1508311424
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H4642 Issued in OR
Legal business name
MITRA GASPEED
Practice address
8615 SW Thoroughbred PL.
Beaverton, OR 97008
Phone
(971) 322-9504
NPI assigned
Aug 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Mitra GaspeedNPI 1376090589
Title
Dental Hygienist
Phone
(971) 322-9504

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
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X H4642 OR Primary

Addresses

Primary practice location

8615 SW Thoroughbred PL.
Beaverton, OR 97008

Mailing address

8615 SW Thoroughbred PL
Beaverton, OR 97008-7200
Phone (971) 322-9504

National Provider Directory

National Provider Directory
Tax ID family
Mitra Gaspeed2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1508311424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 SW THOROUGHBRED PL",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087200",
            "telephone_number": "971-322-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 SW THOROUGHBRED PL.",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97008",
            "telephone_number": "971-322-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITRA GASPEED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "GASPEED",
        "authorized_official_first_name": "MITRA",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "971-322-9504"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H4642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.