Individual provider Active NPI

Theodore Keith Dhein, L.D.

  • Denturist
  • Portland, OR
National Provider Identifier
1629308648
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DT00524581 Issued in OR
Practice address
8064 S.E. Harold St.
Portland, OR 97206-5148
Phone
(503) 777-6014
NPI assigned
Jan 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X DT00524581 OR Primary

Addresses

Primary practice location

8064 S.E. Harold St.
Portland, OR 97206-5148

Mailing address

8064 S.E. Harold St.
Portland, OR 97206-5148
Phone (503) 777-6014

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

LicenseStateTypeSpecialty
DT00524581ORMDDenturist

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1629308648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8064 S.E. HAROLD ST.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065148",
            "telephone_number": "503-777-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8064 S.E. HAROLD ST.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065148",
            "telephone_number": "503-777-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHEIN",
        "first_name": "THEODORE",
        "middle_name": "KEITH",
        "credential": "L.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "OR",
            "license": "DT00524581",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 14, 2010; 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.