Organization Active NPI

One Penny LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Boring, OR
National Provider Identifier
1699424085
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ONE PENNY LLC
Practice address
29450 SE Lariat LN
Boring, OR 97009-7429
Phone
(503) 877-8342
NPI assigned
Mar 22, 2022
Last updated
Mar 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Dean Najdawi
Title
Manager
Phone
(704) 754-3202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

29450 SE Lariat LN
Boring, OR 97009-7429

Mailing address

29450 SE Lariat LN
Boring, OR 97009-7429

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1699424085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29450 SE LARIAT LN",
            "city": "BORING",
            "state": "OR",
            "postal_code": "970097429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29450 SE LARIAT LN",
            "city": "BORING",
            "state": "OR",
            "postal_code": "970097429",
            "telephone_number": "503-877-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE PENNY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "NAJDAWI",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-754-3202"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boring, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.