Organization Active NPI

Ponderosa Pines Periodontics

  • Periodontics
  • Portland, OR
National Provider Identifier
1780580498
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PONDEROSA PINES PERIODONTICS
Practice address
7600 SE Division St
Portland, OR 97206-1058
Phone
(480) 748-8123
NPI assigned
Oct 19, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Dr. Syed Umer, DMD
Title
Periodontist
Phone
(480) 748-8123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X Primary

Addresses

Primary practice location

7600 SE Division St
Portland, OR 97206-1058

Mailing address

7600 SE Division St
Portland, OR 97206-1058

NPI Registry JSON

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1780580498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061058",
            "telephone_number": "480-748-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDEROSA PINES PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "UMER",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "480-748-8123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "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 Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.