Organization Active NPI

Hadi Nouredine

Doing business as Today's Dental

  • General Practice Dentistry
  • Hillsboro, OR
National Provider Identifier
1578664819
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8687 Issued in OR
Legal business name
HADI NOUREDINE
Doing business as
Today's Dental
Practice address
570 SE Baseline St
Hillsboro, OR 97123-4114
Phone
(503) 844-0777
Fax
(503) 648-9603
NPI assigned
Sep 26, 2006
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Mrs. Angela Kati Marecek
Title
Office Manager
Phone
(503) 644-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D8687 OR Primary

Addresses

Primary practice location

570 SE Baseline St
Hillsboro, OR 97123-4114

Mailing address

570 SE Baseline St
Hillsboro, OR 97123-4114
Phone (503) 844-0777

Other identifiers 2

IdentifierTypeStateIssuer
028155OtherOROFFICE OF MEDICAL ASS
278353MedicaidOR

Other names 1

  • Today's Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1578664819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 SE BASELINE ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234114",
            "telephone_number": "503-844-0777",
            "fax_number": "503-648-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 SE BASELINE ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234114",
            "telephone_number": "503-844-0777",
            "fax_number": "503-648-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADI NOUREDINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "MARECEK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "KATI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-644-1110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF MEDICAL ASS",
            "identifier": "028155",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278353",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Today's Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.