Jonathan Bret Faris, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11642 Issued in OR

Practice address

2031 Hawthorne St Ste B
Forest Grove, OR 97116-1700

Phone

(503) 359-4463

NPI assigned

Jun 6, 2022

Last updated

Jan 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jonathan Faris DMD PC

  • Dental Clinic/Center
  • Forest Grove, OR
  • NPI 1619743952
  NPD Authorized official

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1750010732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 HAWTHORNE ST STE B",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 HAWTHORNE ST STE B",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161700",
            "telephone_number": "503-359-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIS",
        "first_name": "JONATHAN",
        "middle_name": "BRET",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Marie Espiasse, RN, M.ED
• Allison Clair Evans
• Family Haven LLC
• Family Institute, P.C.
• Geoffrey Kirk Faris, D.M.D.
• Nickolas Felten, D.D.S
• Ellen J Fiscus, MA, LPC, NCC
• Rebecca Flagg, RPH
• Janeen VI Flake, RPH
• Kate Flanagan, LPC

• General Practice Dentistry in Forest Grove, OR
• Providers in Forest Grove, 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 1, 2024; 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.