Christopher Brady DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D10185 Issued in OR

Legal business name

CHRISTOPHER BRADY DMD LLC

Doing business as

Advanced Dental Clinic

Practice address

4707 NE 102ND Ave Ste a
Portland, OR 97220-3393

Phone

(971) 867-2956

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Pavel Ivanovich Saranchuk

Title

Manager/Authorized Signer

Phone

(503) 902-4300

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dental Clinic Doing business as

Locations

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1528546330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 NE 102ND AVE STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203393",
            "telephone_number": "971-867-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 NE 102ND AVE STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203393",
            "telephone_number": "971-867-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER BRADY DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "SARANCHUK",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_middle_name": "IVANOVICH",
        "authorized_official_title_or_position": "MANAGER/AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "503-902-4300"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D10185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Christoff, LPC
• Zachery R Christoff, RPH
• Julia Christofferson
• Christopher a Hargunani MD LLC
• Christopher Allen PH.D.
• Christopher Hatlestad, MD, PC
• Christopher Huffine PSYD
• Christopher N Lim,MD PC
• Christopher S. Seuferling DPM PC
• Andrna Erica Christopher, NP

• Dental Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.