Active NPI
Farielle Houran
- Pediatric Dentistry
- Oregon City, OR
National Provider Identifier
1669858239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D10332
- Practice address
- 365 Warner Milne Rd Ste 110
Oregon City, OR 97045-4073 - Phone
- (971) 206-7115
- NPI assigned
- Aug 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D10332 | OR | |
| Pediatric Dentistry | 1223P0221X | D10332 | OR | Primary |
Addresses
Primary practice location
365 Warner Milne Rd Ste 110
Oregon City, OR 97045-4073
Mailing address
14201 NE 20TH Ave Ste 2204
Vancouver, WA 98686-6413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151027001251 | OR | Order and Referring Only - Dentist | 9234448556 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10332 | OR | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1669858239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 NE 20TH AVE STE 2204",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986866413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 WARNER MILNE RD STE 110",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970454073",
"telephone_number": "971-206-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOURAN",
"first_name": "FARIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-06",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D10332",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OR",
"license": "D10332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.