Happy Valley Modern Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HAPPY VALLEY MODERN DENTISTRY, PC

Doing business as

Happy Valley Modern Dentistry

Practice address

13180 SE 172ND Ave Ste 146
Happy Valley, OR 97086-9654

Phone

(503) 353-6568

Fax

(503) 212-4756

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Sumeet Pandhoh, DDS

Title

Owner

Phone

(503) 353-6568

Specialties & licenses 1

Addresses

Other names 1

• Happy Valley Modern Dentistry Doing business as

Locations

Practitioners 2

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

• Daniel Phan Nguyen, DDS

  • Dentist
  • Happy Valley, OR
  • NPI 1225889975
  NPD
• Jivko Gueorguiev

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1245850577
  NPD (past)

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1740921527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13180 SE 172ND AVE STE 146",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970869654",
            "telephone_number": "503-353-6568",
            "fax_number": "503-212-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY VALLEY MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "PANDHOH",
        "authorized_official_first_name": "SUMEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-353-6568",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Valley Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Haich
• Spencer R Hall, PT, DPT
• Edward E Hamel, MD
• Cameron Harold Hamilton, ATC
• Lillian Catherine Hankins, MSW, LCSW
• Happy Valley Urgent Care, LLC
• Bobbie J Harlow Combe, BC - HIS
• Cory Nicole Harum, PT, DPT
• Gregory Havely, GREGORY HAVELY RPH
• Hillary Grace Hawkins, DDS

• General Practice Dentistry in Happy Valley, OR
• Providers in Happy Valley, 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 Apr 5, 2022; 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.