Midland Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D7948 Issued in OR

Legal business name

MIDLAND FAMILY DENTISTRY

Practice address

1244 SE 122ND Ave
Portland, OR 97233-1202

Phone

(503) 254-8836

Fax

(503) 256-6288

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Natalia V Duvalko, DDSNPI 1730275231

Title

President

Phone

(503) 254-8836

Specialties & licenses 1

Addresses

Tax ID family

Midland Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Midland Family Dentistry PC

  • General Practice Dentistry
  • Portland, OR
  • NPI 1548363187
  NPD tax ID

Practitioners 1

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

• Natalia V. Duvalko, DDS

  • General Practice Dentistry
  • Portland, OR
  • NPI 1730275231
  NPD (past) Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609976745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331202",
            "telephone_number": "503-254-8836",
            "fax_number": "503-256-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331202",
            "telephone_number": "503-254-8836",
            "fax_number": "503-256-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUVALKO",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-254-8836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D7948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Middleton, D.C.
• Jeremy Talmadge Middleton, R.N.
• Samantha Middleton
• Craig Aaron Midgen, M.D.
• Midland Dental LLC
• Midland Family Dentistry PC
• Oleander Midnight
• Midori Ferris Wayne Psychotherapy LLC
• Midstream
• Midway Medical Transportation LLC

• Dental Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.