Active NPI
Jasmine Elaine Ahrar, DMD
- General Practice Dentistry
- Beaverton, OR
National Provider Identifier
1619657913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D11806
- Practice address
- 8070 SW Hall Blvd Ste 200
Beaverton, OR 97008-6419 - Phone
- (503) 644-1110
- NPI assigned
- Jul 20, 2023
- Last updated
- Jul 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D11806 | OR | Primary |
Addresses
Primary practice location
8070 SW Hall Blvd Ste 200
Beaverton, OR 97008-6419
Mailing address
2050 NW Raleigh St Apt 262
Portland, OR 97209-2295
Phone (503) 339-5663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11806 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hadi Nouredine DMD | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1619657913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 NW RALEIGH ST APT 262",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092295",
"telephone_number": "503-339-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8070 SW HALL BLVD STE 200",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970086419",
"telephone_number": "503-644-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHRAR",
"first_name": "JASMINE",
"middle_name": "ELAINE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D11806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.