Active NPI
Elkjer Dental Clinic, P.C.
- General Practice Dentistry
- Portland, OR
National Provider Identifier
1780695601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6586
- Legal business name
- ELKJER DENTAL CLINIC, P.C.
- Practice address
- 5861 SW Beaverton Hillsdale Hwy
Portland, OR 97221-1925 - Phone
- (503) 292-5483
- Fax
- (503) 292-5483
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven R Elkjer, D.M.D.
- Title
- Owner/President
- Phone
- (503) 292-5483
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6586 | OR | Primary |
Addresses
Primary practice location
5861 SW Beaverton Hillsdale Hwy
Portland, OR 97221-1925
Mailing address
5861 SW Beaverton Hillsdale Hwy
Portland, OR 97221-1925
Phone (503) 292-5483
National Provider Directory
National Provider DirectoryLocations
5861 SW Beaverton Hillsdale Hwy
Portland, OR 97221
Phone (503) 292-5483
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Portland, OR
- NPI 1538154737
-
- General Practice Dentistry
- Portland, OR
- NPI 1285015768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780695601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5861 SW BEAVERTON HILLSDALE HWY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972211925",
"telephone_number": "503-292-5483",
"fax_number": "503-292-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5861 SW BEAVERTON HILLSDALE HWY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972211925",
"telephone_number": "503-292-5483",
"fax_number": "503-292-5483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELKJER DENTAL CLINIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ELKJER",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "503-292-5483",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "6586",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.