S. Alexander Marrero DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D6089 Issued in OR

Legal business name

S. ALEXANDER MARRERO DDS, PC

Doing business as

Summercrest Dental

Practice address

16400 SW Hart Rd
Suite a
Beaverton, OR 97007-3457

Phone

(503) 649-7701

NPI assigned

Apr 24, 2012

Last updated

Apr 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. S. Alexander Marrero, DDS

Title

Dr/Owner

Phone

(503) 649-7701

Specialties & licenses 1

Addresses

Other names 1

• Summercrest Dental Doing business as

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.

• Spencer Alexander Marrero, D.D.S.

  • General Practice Dentistry
  • Beaverton, OR
  • NPI 1194928390
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1619235983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 SW HART RD",
            "address_2": "SUITE A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970073457",
            "telephone_number": "503-649-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 SW HART RD",
            "address_2": "SUITE A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970073457",
            "telephone_number": "503-649-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. ALEXANDER MARRERO DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "503-649-7701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D6089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summercrest Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Dawne Ruzi
• Daniel Richard Ryan, DPT
• Erica Ryan
• Gale A Rydell, MD
• Amy Rymanowicz, INTERVENTIONIST
• S2 Collaborations LLC (Strong Spine Chiropractic)
• Ali Saad
• Reine Saad
• Mabel Saavedra Ramos
• Emily L Sabins, PA-C

• Dental Clinic/Center in Beaverton, OR
• Providers in Beaverton, 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 Apr 24, 2012; 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.