Active NPI
Jeffrey Firestone DDS PC
- Dental Clinic/Center
- Portland, OR
National Provider Identifier
1760722508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- D9106
- Legal business name
- JEFFREY FIRESTONE DDS PC
- Practice address
- 732 SW 3Rd Ave
Suite 202
Portland, OR 97204-2416 - Phone
- (503) 542-2580
- NPI assigned
- Feb 14, 2013
- 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. Jeffrey Firestone
- Title
- Owner
- Phone
- (503) 542-2580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | D9106 | OR | Primary |
Addresses
Primary practice location
732 SW 3Rd Ave
Suite 202
Portland, OR 97204-2416
Mailing address
732 SW 3Rd Ave
Suite 202
Portland, OR 97204-2416
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360800000000",
"number": "1760722508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 SW 3RD AVE",
"address_2": "SUITE 202",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972042416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 SW 3RD AVE",
"address_2": "SUITE 202",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972042416",
"telephone_number": "503-542-2580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY FIRESTONE DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-14",
"last_updated": "2013-02-14",
"status": "A",
"authorized_official_last_name": "FIRESTONE",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-542-2580",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "OR",
"license": "D9106",
"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 Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.