St Johns Dental Arts PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ST JOHNS DENTAL ARTS PC

Practice address

8407 N Lombard
Portland, OR 97203

Phone

(503) 286-3669

Fax

(503) 286-3660

NPI assigned

Sep 7, 2007

Organization subpart

Yes

Parent organization

ST JOHNS DENTAL ARTS PCAs reported in NPPES

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

Authorized official

Name

Dr. John Thomas Roberts, DMD

Title

Dentist

Phone

(503) 286-3669

Specialties & licenses 1

Addresses

Part of

St Johns Dental Arts PC

Locations

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1710172267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 N LOMBARD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97203",
            "telephone_number": "503-286-3669",
            "fax_number": "503-286-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 N LOMBARD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97203",
            "telephone_number": "503-286-3669",
            "fax_number": "503-286-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS DENTAL ARTS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST JOHNS DENTAL ARTS PC",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-286-3669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah St Germain
• Madilyn St Germain
• Amanda St John
• Carole Jean St John, CRM
• Colleen Marie St John
• Margaret M St Louis, RDH
• Claire Elizabeth St Marie
• Jamie D St Mark, CRNA
• St Mary Health LLC
• Krysta St Michell, MEDICAL STUDENT

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.