Meenakshi Dewan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D9675 Issued in OR

Practice address

11982 NE Glisan St
Portland, OR 97220-2143

Phone

(503) 257-8787

NPI assigned

Feb 13, 2012

Last updated

Feb 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Meenakshi Lnu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1740553312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NE ATLANTIC PL",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246043",
            "telephone_number": "503-531-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11982 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202143",
            "telephone_number": "503-257-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWAN",
        "first_name": "MEENAKSHI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEENAKSHI",
            "last_name": "LNU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jerusha Devyldere
• Adam Dew, D.C.
• Leigh Anne Dew, MD
• Verda Dew, MSW
• Shawn Gary Dewall
• Karina Dewart
• Adam Dewater, RBT
• Sonja L Dewees Thomas, MPH
• Alyssa Christine Dewees, NP
• Linnea Dewees

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.