NPIMap

Organization Active NPI

Careone Dental

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1730469446
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE8159 Issued in WA
Legal business name
CAREONE DENTAL
Practice address
3620 SE Powell Blvd
Portland, OR 97202-1880
Phone
(971) 266-4555
Fax
(360) 896-6264
NPI assigned
Aug 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Liem D DO, DDS
Title
Owner
Phone
(360) 213-9864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE8159 WA Primary

Addresses

Primary practice location

3620 SE Powell Blvd
Portland, OR 97202-1880

Mailing address

13510 NE 84TH St
Suite 105
Vancouver, WA 98682-3092
Phone (360) 213-9824

National Provider Directory

National Provider Directory
Tax ID family
Careone Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1730469446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13510 NE 84TH ST",
            "address_2": "SUITE 105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986823092",
            "telephone_number": "360-213-9824",
            "fax_number": "360-896-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 SE POWELL BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021880",
            "telephone_number": "971-266-4555",
            "fax_number": "360-896-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREONE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "LIEM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-213-9864",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 25, 2011; 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.