Active NPI
Ashkan Shayegan DMD PC
- General Practice Dentistry
- Portland, OR
National Provider Identifier
1750047643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ASHKAN SHAYEGAN DMD PC
- Practice address
- 5861 SW Beaverton Hillsdale Hwy
Portland, OR 97221-1925 - Phone
- (503) 292-5483
- Fax
- (503) 297-5015
- NPI assigned
- Nov 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ashkan Shayegan, DMD
- Title
- President
- Phone
- (480) 229-2086
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
5861 SW Beaverton Hillsdale Hwy
Portland, OR 97221-1925
Mailing address
5861 SW Beaverton Hillsdale Hwy
Portland, OR 97221-1925
Phone (503) 292-5483
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636934400000",
"number": "1750047643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5861 SW BEAVERTON HILLSDALE HWY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972211925",
"telephone_number": "503-292-5483",
"fax_number": "503-297-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5861 SW BEAVERTON HILLSDALE HWY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972211925",
"telephone_number": "503-292-5483",
"fax_number": "503-297-5015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHKAN SHAYEGAN DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-15",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A",
"authorized_official_last_name": "SHAYEGAN",
"authorized_official_first_name": "ASHKAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-229-2086",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.