The Aesthetic

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE AESTHETIC

Practice address

410 1St St
Lake Oswego, OR 97034-3123

Phone

(971) 313-1535

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Lisa Standage, RDH, EPDHNPI 1437751070

Title

Owner/Manager

Phone

(971) 313-1535

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lisa Standage, RDH

  • Dental Hygienist
  • Lake Oswego, OR
  • NPI 1437751070
  NPD Authorized official

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1669047973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 2ND ST APT 215",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343288",
            "telephone_number": "971-313-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 1ST ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343123",
            "telephone_number": "971-313-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AESTHETIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "STANDAGE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "971-313-1535",
        "authorized_official_credential": "RDH, EPDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.