Active NPI
Zaid Qaryaqos, DMD
- Dentist
- Wilsonville, OR
National Provider Identifier
1548837446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11440
- Practice address
- 25700 SW Argyle Ave Ste F
Wilsonville, OR 97070-5799 - Phone
- (503) 682-8552
- NPI assigned
- Jun 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D11440 | OR | Primary |
Addresses
Primary practice location
25700 SW Argyle Ave Ste F
Wilsonville, OR 97070-5799
Mailing address
17299 SE Elias CT
Damascus, OR 97089-5661
Phone (503) 839-0048
Other practice location 1
17299 SE Elias Ct
Damascus, OR 97089-5661
Phone (503) 839-0048
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | dr.qaryaqos.z@gmail.com | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251016000483 | OR | Order and Referring Only - Dentist | 5294138152 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1548837446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17299 SE ELIAS CT",
"city": "DAMASCUS",
"state": "OR",
"postal_code": "970895661",
"telephone_number": "503-839-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25700 SW ARGYLE AVE STE F",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970705799",
"telephone_number": "503-682-8552"
}
],
"practiceLocations": [
{
"address_1": "17299 SE Elias Ct",
"address_purpose": "LOCATION",
"city": "Damascus",
"state": "OR",
"postal_code": "970895661",
"country_code": "US",
"telephone_number": "503-839-0048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QARYAQOS",
"first_name": "ZAID",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D11440",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dr.qaryaqos.z@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "25700 SW Argyle Ave Ste F",
"city": "Wilsonville",
"state": "OR",
"country_code": "US",
"postal_code": "970705799",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.