Heritage Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5651 Issued in OR

Legal business name

HERITAGE DENTAL

Practice address

4511 SE Hawthorne Blvd
Suite 101
Portland, OR 97215-3195

Phone

(503) 231-8228

Fax

(503) 231-5634

NPI assigned

Nov 3, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Jean Crane

Title

Office Manager

Phone

(503) 231-8228

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Elin Katrina Allen, R.D.H.

  • Dental Hygienist
  • Portland, OR
  • NPI 1689065864
  NPD (past)
• Kuhn R. Marshall, DMD

  • General Practice Dentistry
  • Portland, OR
  • NPI 1487724829
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1669759767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 SE HAWTHORNE BLVD",
            "address_2": "SUITE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153195",
            "telephone_number": "503-231-8228",
            "fax_number": "503-231-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 SE HAWTHORNE BLVD",
            "address_2": "SUITE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153195",
            "telephone_number": "503-231-8228",
            "fax_number": "503-231-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-231-8228",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "5651",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "9096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilee Grace Herinckx, MA
• Cammie Hering, M.A.
• Margaret Lima Hering, LCSW
• Megan Herink
• Tracy Herion, D.D.S, M. S.
• Mary Heriza, LPC
• Keith Herkert, D.M.D.
• April L. Herlache, M.D.
• Tatsuya Herlambang
• Britney Herman, NP-C WHNP-BC

• Dental Clinic/Center in Portland, OR
• Providers in Portland, 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 Jul 11, 2013; 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.