NPIMap

Organization Active NPI

Harrison Dental, LLC

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1619188711
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4961 Issued in OR
Legal business name
HARRISON DENTAL, LLC
Practice address
1800 S.W. 1RST Ave.
Suite 530
Portland, OR 97201-5328
Phone
(503) 222-6611
Fax
(503) 222-0560
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark J. Kaip, D.D.S.NPI 1639138613
Title
Dr. Mark Kaip, D.D. S., P.C.
Phone
(503) 222-6611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4961 OR Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 7987 OR

Addresses

Primary practice location

1800 S.W. 1RST Ave.
Suite 530
Portland, OR 97201-5328

Mailing address

1800 S.W. 1RST Ave.
Suite 530
Portland, OR 97201-5328
Phone (503) 222-6611

Other identifiers 2

IdentifierTypeStateIssuer
1639138613OtherORTYPE 1
1679534606OtherORTYPE 1

National Provider Directory

National Provider Directory

Locations

1800 SW 1st Ave
Ste 530
Portland, OR 97201
Phone (503) 222-6611

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619188711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S.W. 1RST AVE.",
            "address_2": "SUITE 530",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015328",
            "telephone_number": "503-222-6611",
            "fax_number": "503-222-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S.W. 1RST AVE.",
            "address_2": "SUITE 530",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015328",
            "telephone_number": "503-222-6611",
            "fax_number": "503-222-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAIP",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DR. MARK KAIP, D.D. S., P.C.",
        "authorized_official_telephone_number": "503-222-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "4961",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "7987",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1",
            "identifier": "1639138613",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1",
            "identifier": "1679534606",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.