Organization Active NPI

West Coast Endodontics, PC

  • Endodontics
  • Portland, OR
National Provider Identifier
1770849838
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D7631 Issued in OR
Legal business name
WEST COAST ENDODONTICS, PC
Practice address
9907 SE Division Street
Ste a
Portland, OR 87266
Phone
(503) 762-2500
Fax
(503) 762-2504
NPI assigned
Apr 3, 2012
Last updated
Apr 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Christina H. Vy, D.M.DNPI 1144227240
Title
Owner
Phone
(503) 762-2500

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)CodeLicenseStatePrimary
Endodontics 1223E0200X D7631 OR Primary

Addresses

Primary practice location

9907 SE Division Street
Ste a
Portland, OR 87266

Mailing address

9907 SE Division Street
Ste a
Portland, OR 97266
Phone (503) 762-2500

National Provider Directory

National Provider Directory

Locations

9907 SE Division St
Ste A
Portland, OR 97266
Phone (503) 762-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1770849838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9907 SE DIVISION STREET",
            "address_2": "STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97266",
            "telephone_number": "503-762-2500",
            "fax_number": "503-762-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9907 SE DIVISION STREET",
            "address_2": "STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "87266",
            "telephone_number": "503-762-2500",
            "fax_number": "503-762-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "VY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-762-2500",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D7631",
            "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 Apr 3, 2012; 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.