Mark T Eilers DMD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8604 Issued in OR

Legal business name

MARK T EILERS DMD

Practice address

2115 NE 42ND Ave
Portland, OR 97213-1321

Phone

(503) 281-8110

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

Erin Irvin

Title

Office Manager

Phone

(503) 281-8110

Specialties & licenses 1

Addresses

Other names 1

• Eilers Dental PC Other name

Locations

Practitioners 1

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

• Mark Timothy Eilers, D.M.D.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1811983190
  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1770867962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 NE 42ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131321",
            "telephone_number": "503-281-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 NE 42ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131321",
            "telephone_number": "503-281-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK T EILERS DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-281-8110"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "8604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eilers Dental PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark G. Dillon, PH.D.
• Mark J Rushford DDS PC
• Mark J. Butterfield, D.C.
• Mark J. Morrow, MD
• Mark Steven Metzger MD PC
• Mark W Cheng LLC
• Emma R Mark, QMHA-I
• Shiva Markandeya
• Kacee Marie Markarian, LMFT
• Alicia Markee

• 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 5, 2011; 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.