Organization Active NPI

Smile Artistry

  • Dental Clinic/Center
  • Hillsboro, OR
National Provider Identifier
1649762824
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D10146 Issued in OR
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

Updated by the provider on Jun 4, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.