Individual provider Active NPI

Alfred M Borromeo, D.D.S.

  • General Practice Dentistry
  • Silverton, OR
National Provider Identifier
1548307192
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7330 Issued in OR
Practice address
214 Jersey St
Silverton, OR 97381-1627
Phone
(503) 566-7000
Fax
(503) 363-8590
NPI assigned
Jan 31, 2007
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D7330 OR Primary

Addresses

Primary practice location

214 Jersey St
Silverton, OR 97381-1627

Mailing address

214 Jersey St
Silverton, OR 97381-1627
Phone (503) 566-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160115001971 OR Order and Referring Only - DentistPractitioner - Dentist 5092018515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Sleep Solutions LLC General Practice CurrentSince Jan 6, 2021 Accepting new patients

Locations

214 Jersey St
Silverton, OR 97381
Phone (503) 566-7000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1548307192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 JERSEY ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811627",
            "telephone_number": "503-566-7000",
            "fax_number": "503-633-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 JERSEY ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811627",
            "telephone_number": "503-566-7000",
            "fax_number": "503-363-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORROMEO",
        "first_name": "ALFRED",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-04-25",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

Verify at the official NPI Registry.