Emergency Tooth Doctor Vancouver, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE 60190120 Issued in WA

Legal business name

EMERGENCY TOOTH DOCTOR VANCOUVER, P.C.

Practice address

14665 SW Millikan Way
Beaverton, OR 97003-2999

Phone

(503) 641-2200

Fax

(503) 641-2220

NPI assigned

Jan 20, 2015

Last updated

Jan 20, 2015By 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

Dr. Thomas T Pham, D.M.DNPI 1336148030

Title

President/Dentist

Phone

(503) 641-2200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Thomas T Pham, DMD

  • General Practice Dentistry
  • Beaverton, OR
  • NPI 1336148030
  NPD (past) Authorized official
• Loi T Nguyen, D.M.D

  • Dentist
  • Beaverton, OR
  • NPI 1942514088
  NPD (past)

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1730578360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W FOURTH PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602141",
            "telephone_number": "503-641-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14665 SW MILLIKAN WAY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032999",
            "telephone_number": "503-641-2200",
            "fax_number": "503-641-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY TOOTH DOCTOR VANCOUVER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "503-641-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60190120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaa Elogbi, MS, CCC-SLP
• Safia Elogbi
• Phyllis Elzea, L.C.S.W.
• Lawrence Wayne Elzinga, MD
• Annemieke Clark Emch, PMHNP
• Emergency Tooth Doctor, P.C.
• Emilia C Bazan-Grow
• Emily Gannaway, LLC
• Jordan Emmil
• Empathy Afh LLC

• General Practice Dentistry in Beaverton, OR
• Providers in Beaverton, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.