Organization Active NPI

Mattson Hellickson Dental LLC

  • General Practice Dentistry
  • Aloha, OR
National Provider Identifier
1649654070
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10116 Issued in OR
Legal business name
MATTSON HELLICKSON DENTAL LLC
Doing business as
Mattson Hellickson Dental
Practice address
18455 SW Alexander St
Aloha, OR 97003-3967
Phone
(503) 649-4211
Fax
(503) 649-2700
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Dr. Benjamin Hellickson, D.D.S.NPI 1336525492
Title
Dentist Owner
Phone
(503) 649-4211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D10116 OR Primary

Addresses

Primary practice location

18455 SW Alexander St
Aloha, OR 97003-3967

Mailing address

18455 SW Alexander St
Aloha, OR 97003-3967
Phone (503) 649-4211

Other names 1

  • Mattson Hellickson Dental Doing business as

National Provider Directory

National Provider Directory

Locations

18455 SW Alexander St
Aloha, OR 97003
Phone (503) 649-4211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1649654070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18455 SW ALEXANDER ST",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970033967",
            "telephone_number": "503-649-4211",
            "fax_number": "503-649-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18455 SW ALEXANDER ST",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970033967",
            "telephone_number": "503-649-4211",
            "fax_number": "503-649-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTSON HELLICKSON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "HELLICKSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "503-649-4211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mattson Hellickson Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aloha, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.