Bittner Dentistry for Kids

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D8900 Issued in OR

Legal business name

BITTNER DENTISTRY FOR KIDS

Practice address

17680 SW Handley St
Suite 201
Sherwood, OR 97140-9255

Phone

(503) 625-5437

Fax

(503) 625-5433

NPI assigned

Oct 3, 2014

Last updated

Oct 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trinity E Gemmill

Title

Office Manager

Phone

(503) 625-5437

Specialties & licenses 2

Addresses

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.

• Kendra Flann, D.M.D

  • Pediatric Dentistry
  • Sherwood, OR
  • NPI 1457618639
  NPD (past)

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1710380886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17680 SW HANDLEY ST",
            "address_2": "SUITE 201",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409255",
            "telephone_number": "503-625-5437",
            "fax_number": "503-625-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17680 SW HANDLEY ST",
            "address_2": "SUITE 201",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409255",
            "telephone_number": "503-625-5437",
            "fax_number": "503-625-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITTNER DENTISTRY FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "GEMMILL",
        "authorized_official_first_name": "TRINITY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-625-5437"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D9975",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Michelle Berry, RBT
• Jordan Bigam, ATC
• Jane Biggi, MPT
• Alison Marie Bisset
• Bittner & Flann LLC
• Justin James Bittner, D.M.D.
• Randy Bixler, RPH, RN
• Robin Sue Blankenbaker, RN
• Beniamin Bogdan, DMD
• Camille Marie Bowen, LMT

• Pediatric Dentistry in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.