Nader Rassouli PC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

D6832 Issued in OR

Legal business name

NADER RASSOULI PC

Practice address

5440 SW Westgate Dr Ste 360
Portland, OR 97221-2446

Phone

(503) 297-4400

Fax

(503) 297-0684

NPI assigned

Mar 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Nader M Rassouli, DDS, MSNPI 1598755647

Title

Owner

Phone

(503) 297-4400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sylvan Implant & Reconstructive Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nader M Rassouli, BS DDS MS

  • Prosthodontics
  • Portland, OR
  • NPI 1598755647
  NPD (past) Authorized official

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1730540949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 SW WESTGATE DR STE 360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212446",
            "telephone_number": "503-297-4400",
            "fax_number": "503-297-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 SW WESTGATE DR STE 360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212446",
            "telephone_number": "503-297-4400",
            "fax_number": "503-297-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADER RASSOULI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "RASSOULI",
        "authorized_official_first_name": "NADER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-297-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "OR",
            "license": "D6832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "D6832",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "1223P0700X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sylvan Implant & Reconstructive Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aric Naber
• Zoe Nace, RBT
• Marcel Nachtigall-Asik
• Jonathan Nadal, LAC
• Kathrine Ann Nadalsky, CNM
• Dale A. Nader, L.C.S.W.
• Shilpa Nadgouda
• Lori D Nading, CRNA
• Opher A Nadler, MD
• Gregory S Nadol, MD

• Prosthodontics in Portland, OR
• Providers in Portland, OR by specialty
• Prosthodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.