NPIMap

Organization Active NPI

Portland Dental Works, LLC

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1730435876
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9478 Issued in OR
Legal business name
PORTLAND DENTAL WORKS, LLC
Practice address
700 NE Multnomah St
Suite 845
Portland, OR 97232-2131
Phone
(503) 234-0000
Fax
(503) 235-3369
NPI assigned
Jul 26, 2012
Organization subpart
Yes
Parent organization
PORTLAND DENTAL WORKS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Authorized official

Name
Mazyar Afshar, DMD
Title
Owner
Phone
(503) 644-3188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9478 OR Primary

Addresses

Primary practice location

700 NE Multnomah St
Suite 845
Portland, OR 97232-2131

Mailing address

700 NE Multnomah St
Suite 845
Portland, OR 97232-2131
Phone (503) 234-0000

Other names 1

  • Portland Dental Works Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Portland Dental Works LLC3 organizations share this tax ID, including this one
Part of
Portland Dental Works LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 NE Multnomah St
Ste 845
Portland, OR 97232
Phone (503) 234-0000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1730435876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NE MULTNOMAH ST",
            "address_2": "SUITE 845",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322131",
            "telephone_number": "503-234-0000",
            "fax_number": "503-235-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NE MULTNOMAH ST",
            "address_2": "SUITE 845",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322131",
            "telephone_number": "503-234-0000",
            "fax_number": "503-235-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND DENTAL WORKS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PORTLAND DENTAL WORKS, LLC",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "AFSHAR",
        "authorized_official_first_name": "MAZYAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-644-3188",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "9478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Dental Works",
            "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 Jul 26, 2012; 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.