Monroe Dental Care,LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7539 Issued in OR

Legal business name

MONROE DENTAL CARE,LLC

Practice address

2403 SE Monroe St Ste F
Milwaukie, OR 97222-7646

Phone

(503) 305-6068

NPI assigned

Mar 19, 2012

Last updated

Mar 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jia Lin Goh, DMDNPI 1477616720

Title

Dentist

Phone

(503) 305-6068

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jia Lin Goh, DMD

  • General Practice Dentistry
  • Portland, OR
  • NPI 1477616720
  NPD (past) Authorized official

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1821363276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56255",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972386255",
            "telephone_number": "503-305-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 SE MONROE ST STE F",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227646",
            "telephone_number": "503-305-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE DENTAL CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "GOH",
        "authorized_official_first_name": "JIA LIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-305-6068",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "7539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Noel Moen
• Julie Moerke, PHYSICAL THERAPIST A
• Samantha Rose Mohn-Johnson, DPT
• Alleana Franciss Molina Tran, LMT
• Sara Monheit
• Alana Montes, PHYSICAL THERAPIST
• Margarita Montes
• Alison Montgomery, M.S. SLP
• Damariz O Montiel
• Jasper Moon, CPM, LMT

• General Practice Dentistry in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.