Emergency Tooth Doctor East, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8300 Issued in OR

Legal business name

EMERGENCY TOOTH DOCTOR EAST, PC

Doing business as

Emergency Tooth Doctor East

Practice address

12596 SE Stark St
Plaza 125 BLDG N
Portland, OR 97233-1056

Phone

(503) 252-9657

Fax

(503) 256-6909

NPI assigned

May 29, 2007

Last updated

Aug 22, 2020By 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. Thomas T Pham, D.M.D

Title

President

Phone

(503) 252-9657

Specialties & licenses 1

Addresses

Other names 1

• Emergency Tooth Doctor East Doing business as

Locations

Practitioners 2

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.

• Jacob R Kaufman, DMD

  • Dentist
  • Portland, OR
  • NPI 1134732100
  NPD (past)
• Jeenah Yoo

  • General Practice Dentistry
  • Portland, OR
  • NPI 1962832113
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629279674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12596 SE STARK ST",
            "address_2": "PLAZA 125 BLDG N",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331056",
            "telephone_number": "503-252-9657",
            "fax_number": "503-256-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12596 SE STARK ST",
            "address_2": "PLAZA 125 BLDG N",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331056",
            "telephone_number": "503-252-9657",
            "fax_number": "503-256-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY TOOTH DOCTOR EAST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-252-9657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Tooth Doctor East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emerald Family Medicine LLC
• Emerald Residential LLC
• Emergency and Acute Care Medical Company - Northwest, Inc.
• Emergency and Acute Care Medical Company - Northwest, Inc.
• Emergency Tooth Doctor Downtown,P.C.
• Emerging Health, LLC
• Paula Emerick, LMFT
• Emeritus Corporation (Brookdale Park Place Tigard)
• Emeritus Corporation (Brookdale Oswego Springs Portland)
• Emeritus Corporation (Brookdale Sellwood)

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry 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.