Dix C Densley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6642 Issued in OR

Practice address

2831 SW Cornelius Pass Rd
Suite 100
Hillsboro, OR 97123-6740

Phone

(503) 642-5800

NPI assigned

Feb 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Northwest CT Images LLC

  • Radiology Clinic/Center
  • Hillsboro, OR
  • NPI 1174770127
  NPD (past) Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598808255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 SW CORNELIUS PASS RD",
            "address_2": "SUITE 100",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971236740",
            "telephone_number": "503-642-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 SW CORNELIUS PASS RD",
            "address_2": "SUITE 100",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971236740",
            "telephone_number": "503-642-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSLEY",
        "first_name": "DIX",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ehrine Manzana Deloriea, M.D., M.P.H.
• Sarah Demott, DPT
• Denali Surgery Center LLC
• Denali Surgery Center LLC
• Denison Clinical Associates
• Dental Professionals of Oregon, P.C. (Dental Care at Reed's Crossing)
• Dentistry for Children at Amberglen
• Joanna Miller Deshmukh, LPC, LMHC
• Chelsi Desjardins, LMT
• Alaina Nicole Dettmer

• General Practice Dentistry in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.