Stephen Earl Waldram, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

OR 5135 Issued in OR

Practice address

3503 N Lombard St
Portland, OR 97217

Phone

(503) 283-1198

Fax

(503) 283-3262

NPI assigned

May 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kai-Uwe H. Hahn DMD Dba Edelweiss Dental

  • Dental Clinic/Center
  • Portland, OR
  • NPI 1689183717
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528269370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97217",
            "telephone_number": "503-283-1198",
            "fax_number": "503-283-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97217",
            "telephone_number": "503-283-1198",
            "fax_number": "503-283-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRAM",
        "first_name": "STEPHEN",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "OR 5135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Pearl Waldorf, LPC
• Kathleen Anne Waldorf, MD
• Lawrence Waldorf
• Grace Waldow, MS
• Joseph Patrick Waldram, M.D.
• Kimberly Starr Waldrep, FNPC
• Alexandra Elizabeth Waldron, MD
• Ashley Lynn Waldron, MS-SLP
• Brent Waldron
• Emily Ann Waldron, MSW

• Dentist in Portland, OR
• Providers in Portland, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.