NPIMap

Organization Active NPI

Cedar Hills Dental Care

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1528178704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6631 Issued in OR
Legal business name
CEDAR HILLS DENTAL CARE
Practice address
1600 SW Cedar Hills Blvd Ste 107
Portland, OR 97225-5439
Phone
(503) 643-7502
Fax
(503) 641-4771
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christine Marie Chin, DMDNPI 1699728592
Title
Secretary/Dentist
Phone
(503) 643-7502

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6631 OR Primary

Addresses

Primary practice location

1600 SW Cedar Hills Blvd Ste 107
Portland, OR 97225-5439

Mailing address

1600 SW Cedar Hills Blvd Ste 107
Portland, OR 97225-5439
Phone (503) 643-7502

National Provider Directory

National Provider Directory

Locations

1600 SW Cedar Hills Blvd
Ste 107
Portland, OR 97225
Phone (503) 643-7502

Practitioners & affiliated clinicians

Practitioners 3

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528178704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW CEDAR HILLS BLVD STE 107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255439",
            "telephone_number": "503-643-7502",
            "fax_number": "503-641-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW CEDAR HILLS BLVD STE 107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255439",
            "telephone_number": "503-643-7502",
            "fax_number": "503-641-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILLS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SECRETARY/DENTIST",
        "authorized_official_telephone_number": "503-643-7502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6631",
            "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 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.