Organization Active NPI

The Denture Studio

  • Denturist
  • Gresham, OR
National Provider Identifier
1689093213
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
Legal business name
THE DENTURE STUDIO
Practice address
21511 SE Stark St
Gresham, OR 97030-2025
Phone
(503) 666-1698
NPI assigned
Apr 10, 2014
Last updated
Apr 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Ronald FarrisNPI 1952584237
Title
Denturist
Phone
(503) 666-1698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X Primary

Addresses

Primary practice location

21511 SE Stark St
Gresham, OR 97030-2025

Mailing address

21511 SE Stark St
Gresham, OR 97030-2025
Phone (503) 666-1698

National Provider Directory

National Provider Directory

Locations

21511 SE Stark St
Gresham, OR 97030
Phone (503) 666-1698

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1689093213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21511 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302025",
            "telephone_number": "503-666-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21511 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302025",
            "telephone_number": "503-666-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTURE STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "DENTURIST",
        "authorized_official_telephone_number": "503-666-1698"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.