Hiebert, Smith Dental Group, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HIEBERT, SMITH DENTAL GROUP, PC

Practice address

975 NW Saltzman Rd
Portland, OR 97229-5647

Phone

(503) 646-1463

Fax

(503) 646-0753

NPI assigned

Oct 8, 2013

Organization subpart

Yes

Parent organization

HIEBERT, SMITH DENTAL GROUP, PCAs reported in NPPES

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

Authorized official

Name

Dr. Keri L Smith, DDS

Title

Owner / Dentist

Phone

(503) 646-1463

Specialties & licenses 1

Addresses

Other names 1

• NW Heights Dental Doing business as

Tax ID family

Hiebert Smith Dental Group PC2 organizations share this tax ID, including this one

Part of

Hiebert Smith Dental Group PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hiebert, Smith Dental Group, PC

  • Dentist
  • Saint Helens, OR
  • NPI 1194832931
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Hiebert, Smith Dental Group, PC

  • Dentist
  • Saint Helens, OR
  • NPI 1194832931
  NPPES parent name

Practitioners 1

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

• Daniel E Blickenstaff, DDS

  • General Practice Dentistry
  • Portland, OR
  • NPI 1073572459
  NPD (past)

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1760819643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 NW SALTZMAN RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295647",
            "telephone_number": "503-646-1463",
            "fax_number": "503-646-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 NW SALTZMAN RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295647",
            "telephone_number": "503-646-1463",
            "fax_number": "503-646-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIEBERT, SMITH DENTAL GROUP, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIEBERT, SMITH DENTAL GROUP, PC",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "503-646-1463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NW Heights Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Hiday
• Hidden Trails Therapy LLC
• Hidden Vision LLC
• Savannah Faye Hiebel, PHARMD
• Eugene Lloyd Hiebert, MD
• Juliet Brandi Nicole Hiebler
• Luke Thomas Hiersche
• Sophia Hiestand
• Amy Hietpas, OTR/L
• Canaan Higa

• Dental Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.