Thomas D. Cardwell, DMD, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THOMAS D. CARDWELL, DMD, PC

Practice address

11400 SE 37TH Ave
Milwaukie, OR 97222-5982

Phone

(503) 774-6355

NPI assigned

Sep 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Cardwell, DMD

Title

President

Phone

(503) 913-6193

Specialties & licenses 1

Addresses

Other names 1

• Prime Dental Care Doing business as

Locations

Practitioners 1

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

• Brian D Koch, D.M.D.

  • General Practice Dentistry
  • Milwaukie, OR
  • NPI 1881641934
  NPD (past)

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1780234575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SW ELM ST APT 4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972017602",
            "telephone_number": "503-913-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 SE 37TH AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225982",
            "telephone_number": "503-774-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS D. CARDWELL, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "CARDWELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-913-6193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Oregon Hemorrhoid Clinic
• The Spark of Life Chiropractic & Wellness
• Amy Theppote, DPM
• Bryan D Thieme, PSYD
• Norman L Thiesen, PH.D.
• Brittney Thomas, LCSW
• Christopher Owen Thomas, M.D.
• Miki Thomas, PHYSICAL THERAPIST
• Andrea Faith Thompson, L.M.T.
• Elaine M Thompson, M.A., LPC

• Dental Clinic/Center in Milwaukie, OR
• Providers in Milwaukie, 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 Sep 13, 2019; 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.