NPIMap

Organization Active NPI

Horacek Dental

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1528376233
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8874 Issued in OR
Legal business name
HORACEK DENTAL
Practice address
10340 SE Division St
Suite 3
Portland, OR 97266-1269
Phone
(503) 256-3199
Fax
(503) 256-9383
NPI assigned
Sep 15, 2010
Last updated
Sep 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Dr. Richard Horacek, DDSNPI 1831187178
Title
Owner
Phone
(503) 256-3199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D8874 OR Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D9242 OR

Addresses

Primary practice location

10340 SE Division St
Suite 3
Portland, OR 97266-1269

Mailing address

10340 SE Division St
Suite 3
Portland, OR 97266-1269
Phone (503) 256-3199

National Provider Directory

National Provider Directory

Locations

10340 SE Division St
Ste 3
Portland, OR 97266
Phone (503) 256-3199

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1528376233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10340 SE DIVISION ST",
            "address_2": "SUITE 3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661269",
            "telephone_number": "503-256-3199",
            "fax_number": "503-256-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10340 SE DIVISION ST",
            "address_2": "SUITE 3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661269",
            "telephone_number": "503-256-3199",
            "fax_number": "503-256-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORACEK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "HORACEK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-256-3199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8874",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9242",
            "primary": false
        }
    ],
    "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 Sep 15, 2010; 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.