Active NPI
Smile Artistry
- Dental Clinic/Center
- Hillsboro, OR
National Provider Identifier
1649762824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- D10146
- Legal business name
- SMILE ARTISTRY
- Practice address
- 518 SE Oak St Ste 100
Hillsboro, OR 97123-4897 - Phone
- (503) 640-9310
- Fax
- (503) 648-3794
- NPI assigned
- Jun 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aleksandr Petrovich Lyashenko, DDS
- Title
- Dentist
- Phone
- (503) 348-5245
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | D10146 | OR | Primary |
Addresses
Primary practice location
518 SE Oak St Ste 100
Hillsboro, OR 97123-4897
Mailing address
12875 SW 22ND St
Beaverton, OR 97008-5152
Phone (503) 348-5245
National Provider Directory
National Provider DirectoryLocations
518 SE Oak St
Ste 100
Hillsboro, OR 97123
Phone (503) 640-9310
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Hillsboro, OR
- NPI 1104849702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528070400000",
"number": "1649762824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12875 SW 22ND ST",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970085152",
"telephone_number": "503-348-5245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 SE OAK ST STE 100",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234897",
"telephone_number": "503-640-9310",
"fax_number": "503-648-3794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE ARTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-04",
"last_updated": "2018-06-04",
"status": "A",
"authorized_official_last_name": "LYASHENKO",
"authorized_official_first_name": "ALEKSANDR",
"authorized_official_middle_name": "PETROVICH",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "503-348-5245",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "OR",
"license": "D10146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.