NPIMap

Organization Active NPI

Danster, DDS, PC

Doing business as PDX Dental Care

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1598110314
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DANSTER, DDS, PC
Doing business as
PDX Dental Care
Practice address
5308 SE 52ND Ave
Portland, OR 97206-5631
Phone
(503) 775-4000
NPI assigned
Apr 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Dr. Daniel Lee, DDS
Title
Ceo
Phone
(503) 803-4262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5308 SE 52ND Ave
Portland, OR 97206-5631

Mailing address

5308 SE 52ND Ave
Portland, OR 97206-5631
Phone (503) 775-4000

Other names 1

  • PDX Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

5308 SE 52nd Ave
Portland, OR 97206
Phone (503) 775-4000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1598110314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 SE 52ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065631",
            "telephone_number": "503-775-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 SE 52ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065631",
            "telephone_number": "503-775-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANSTER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-803-4262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDX Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 29, 2016; 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.