Emilia C Adam, PEDIATRIC DENTIST

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D9548 Issued in OR

Practice address

13831 NW Cornell Rd
C
Portland, OR 97229-5485

Phone

(503) 718-3762

Fax

(503) 718-3766

NPI assigned

Nov 13, 2008

Last updated

Dec 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advantage Dental Group, PC

  dba Advantage Dental Oral Health Center

  • General Practice Dentistry
  • Bend, OR
  • NPI 1972970671
  NPD (past)

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1679727929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13831 NW CORNELL RD",
            "address_2": "C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295485",
            "telephone_number": "503-718-3762",
            "fax_number": "503-718-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13831 NW CORNELL RD",
            "address_2": "C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295485",
            "telephone_number": "503-718-3762",
            "fax_number": "503-718-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "EMILIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PEDIATRIC DENTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D9548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acupuncture Wellness, LLC
• Adabel Lee, PHD LLC
• Donnell Adair
• Melissa Danielle Adair, ARNP
• Shane Dylan Adair, LMT
• Tete Kodjo Adamah Tassah
• Lynx Adamah, LAC
• Mikelle Jenee Adamczyk, CRNA
• Leena Adamian, MD
• Grazyna Adamiec, LMT

• Pediatric Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.

Verify at the official NPI Registry.