Bridgeview Dental Assoc LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6346JOHNBRILES Issued in OR

Legal business name

BRIDGEVIEW DENTAL ASSOC LLC

Practice address

511 SW 10TH
#1305
Portland, OR 97205

Phone

(503) 224-9130

Fax

(503) 224-4549

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John N Briles, DMDNPI 1144382433

Title

President Owner

Phone

(503) 224-9130

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John N Briles, DMD

  • General Practice Dentistry
  • Portland, OR
  • NPI 1144382433
  NPD (past) Authorized official
• Stuart K Parks, DMD

  • General Practice Dentistry
  • Portland, OR
  • NPI 1275695561
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528120813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH",
            "address_2": "#1305",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97205",
            "telephone_number": "503-224-9130",
            "fax_number": "503-224-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH",
            "address_2": "#1305",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97205",
            "telephone_number": "503-224-9130",
            "fax_number": "503-224-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEVIEW DENTAL ASSOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRILES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "503-224-9130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6346JOHNBRILES",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8116STUARTPARKS",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgetown Medical Group P.C. (Bridgetown Women'c Care)
• Bridgetown Optometric Associates LLC
• Bridgetown Physical Therapy and Training Studio, PC
• Bridgetown Recovery
• Bridgeview
• Bridgeview Surgery Center LLC
• Bridgeview Women's Health, LLC
• Janice G. Bridgewater, LCSW
• Bridgeway Residential Services LLC
• Bridgit Beasley PC (Blue Sky Wellness Studio)

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.