Paul D Brent, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

7495 Issued in OR

Practice address

18395 SW Alexander St
Aloha, OR 97006-3961

Phone

(503) 642-4552

Fax

(503) 591-0202

NPI assigned

Jul 1, 2005

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Endodontics, PC

  • Endodontics
  • Aloha, OR
  • NPI 1487819116
  NPD (past) Authorized official
• Pearl Endodontics, PC

  • Endodontics
  • Aloha, OR
  • NPI 1942823315
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619974847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18395 SW ALEXANDER ST",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970063961",
            "telephone_number": "503-642-4552",
            "fax_number": "503-591-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18395 SW ALEXANDER ST",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970063961",
            "telephone_number": "503-642-4552",
            "fax_number": "503-591-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENT",
        "first_name": "PAUL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "7495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Whitney Bodreau, PHARMD
• Lee Bostwick
• Gabrielle A.R. Box
• Barbara Anne Boyd
• Joshua Boyer
• Bright Smile Dental Care
• Andrianna Brokaw, DC
• Erica Beth Bronitsky, DMD
• Jamar Brown
• Tamara Brown

• All providers in Aloha, OR
• Endodontics 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.