NPIMap

Organization Active NPI

Gehred Family Dental

  • Dentist
  • Portland, OR
National Provider Identifier
1699009605
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9242 Issued in OR
Legal business name
GEHRED FAMILY DENTAL
Practice address
4839 NE 42ND Ave
Portland, OR 97218
Phone
(503) 284-6469
Fax
(503) 288-0490
NPI assigned
Sep 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Mr. Neil Gehred, D.D.S.
Title
Doctor
Phone
(503) 284-6469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D9242 OR Primary

Addresses

Primary practice location

4839 NE 42ND Ave
Portland, OR 97218

Mailing address

4839 NE 42ND Ave
Portland, OR 97218
Phone (503) 284-6469

Other names 1

  • Wilshire Dental Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Gehred Family Dental3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1699009605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4839 NE 42ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97218",
            "telephone_number": "503-284-6469",
            "fax_number": "503-288-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4839 NE 42ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97218",
            "telephone_number": "503-284-6469",
            "fax_number": "503-288-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEHRED FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "GEHRED",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "503-284-6469",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilshire Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.