Emergency Tooth Doctor Tigard, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D8300 Issued in OR

Legal business name

EMERGENCY TOOTH DOCTOR TIGARD, P.C.

Practice address

14465 SW Pacific Hwy
Tigard, OR 97224

Phone

(503) 209-9935

Fax

(503) 256-6909

NPI assigned

Sep 1, 2018

Organization subpart

No

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

Authorized official

Name

Thomas T Pham, DMD

Title

President

Phone

(971) 226-6233

Specialties & licenses 1

Addresses

Other names 1

• Emergency Tooth Doctor Tigard Office Doing business as

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535760000000",
    "number": "1790267128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14465 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97224",
            "telephone_number": "503-209-9935",
            "fax_number": "503-256-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14465 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97224",
            "telephone_number": "503-209-9935",
            "fax_number": "503-256-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY TOOTH DOCTOR TIGARD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-01",
        "last_updated": "2018-09-01",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-226-6233",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Tooth Doctor Tigard Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chad Stephen Ellsworth, RN
• Steven Ellsworth, DC
• Kayla Susanne Elsahili, LCSW
• Lynn Darlene Elsdon
• Suzanne Marie Elton, MA LPC
• Christina Chantal Emerson
• Alexandra Primrose Emmerson
• Heidi M Endres
• Enterprise Chiropractic
• Stacy Epsteen, A.N.P.

• Dental Clinic/Center in Tigard, OR
• Providers in Tigard, 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 1, 2018; 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.