Organization Active NPI

Campbell Dental Group, PC

Doing business as Lombard Smiles

  • Dental Clinic/Center
  • Portland, OR
National Provider Identifier
1710657630
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CAMPBELL DENTAL GROUP, PC
Doing business as
Lombard Smiles
Practice address
5610 N Lombard St
Portland, OR 97203-4224
Phone
(503) 283-2553
NPI assigned
Sep 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Dr. Evan Campbell, DMDNPI 1770968729
Title
President
Phone
(503) 283-2553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5610 N Lombard St
Portland, OR 97203-4224

Mailing address

17065 SW Kinglet Dr
Sherwood, OR 97140-8195
Phone (503) 313-5874

Other names 1

  • Lombard Smiles Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office.manager@lombardsmiles.com

National Provider Directory

National Provider Directory

Locations

5610 N Lombard St
Portland, OR 97203
Phone (503) 283-2553

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1710657630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17065 SW KINGLET DR",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408195",
            "telephone_number": "503-313-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034224",
            "telephone_number": "503-283-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-283-2553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office.manager@lombardsmiles.com",
            "affiliation": "N",
            "endpointDescription": "Dental Office",
            "address_1": "5610 N Lombard St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972034224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lombard Smiles",
            "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 Sep 14, 2021; 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.