Organization Active NPI

Thomas D. Pollard DMD, PC

  • Dental Clinic/Center
  • Portland, OR
National Provider Identifier
1780072751
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4969 Issued in OR
Legal business name
THOMAS D. POLLARD DMD, PC
Practice address
419 NW 23Rd Ave Ste 201
Portland, OR 97210-3470
Phone
(503) 223-7682
Fax
(503) 223-0362
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Ms. Michele Lopez
Title
Financial Coordinator
Phone
(503) 223-7682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4969 OR Primary

Addresses

Primary practice location

419 NW 23Rd Ave Ste 201
Portland, OR 97210-3470

Mailing address

419 NW 23Rd Ave Ste 201
Portland, OR 97210-3470
Phone (503) 223-7682

National Provider Directory

National Provider Directory

Locations

419 NW 23rd Ave
Ste 201
Portland, OR 97210
Phone (503) 223-7682

Practitioners & affiliated clinicians

Practitioners 1

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": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1780072751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 NW 23RD AVE STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103470",
            "telephone_number": "503-223-7682",
            "fax_number": "503-223-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 NW 23RD AVE STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103470",
            "telephone_number": "503-223-7682",
            "fax_number": "503-223-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS D. POLLARD DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "503-223-7682",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "4969",
            "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 Mar 18, 2016; 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.