NPIMap

Organization Active NPI

Fox Kids Dentistry & Orthodontics II

  • Pediatric Dentistry
  • Portland, OR
National Provider Identifier
1700374154
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
FOX KIDS DENTISTRY & ORTHODONTICS II
Practice address
1401 SE Morrison St Ste 120
Portland, OR 97214-2777
Phone
(503) 477-9911
NPI assigned
May 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Dr. Dana Fox, DMD
Title
Manager
Phone
(503) 223-5039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1401 SE Morrison St Ste 120
Portland, OR 97214-2777

Mailing address

1401 SE Morrison St Ste 120
Portland, OR 97214-2777
Phone (503) 477-9911

Other names 1

  • Sprout Pediatric Dentistry & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1401 SE Morrison St
Ste 120
Portland, OR 97214
Phone (503) 477-9911

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1700374154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SE MORRISON ST STE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142777",
            "telephone_number": "503-477-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SE MORRISON ST STE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142777",
            "telephone_number": "503-477-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX KIDS DENTISTRY & ORTHODONTICS II",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-223-5039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sprout Pediatric Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 1, 2018; 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.