Organization Active NPI

Brandon Schwindt DMD PC

  • Pediatric Dentistry
  • Tigard, OR
National Provider Identifier
1811262306
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D7966 Issued in OR
Legal business name
BRANDON SCHWINDT DMD PC
Practice address
11565 SW Durham Rd
BLDG F, Ste 100
Tigard, OR 97224-3553
Phone
(503) 620-2777
Fax
(503) 620-2070
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Dr. Brandon SchwindtNPI 1669474466
Title
Owner
Phone
(503) 620-2777

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X D7966 OR Primary

Addresses

Primary practice location

11565 SW Durham Rd
BLDG F, Ste 100
Tigard, OR 97224-3553

Mailing address

11565 SW Durham Rd
BLDG F, Ste 100
Tigard, OR 97224-3553
Phone (503) 620-2777

National Provider Directory

National Provider Directory

Locations

11565 SW Durham Rd
Ste 100
Tigard, OR 97224
Phone (503) 620-2777

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": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1811262306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11565 SW DURHAM RD",
            "address_2": "BLDG F, STE 100",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243553",
            "telephone_number": "503-620-2777",
            "fax_number": "503-620-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11565 SW DURHAM RD",
            "address_2": "BLDG F, STE 100",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243553",
            "telephone_number": "503-620-2777",
            "fax_number": "503-620-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON SCHWINDT DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "SCHWINDT",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-620-2777",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D7966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.