Active NPI
Bryan Schofield, DMD
- Dentist
- Portland, OR
National Provider Identifier
1821606948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D-5183
- Practice address
- 9201 SE 91St Ave Ste 140
Portland, OR 97086-3760 - Phone
- (503) 253-1344
- NPI assigned
- Jul 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D-5183 | ID | Primary |
Addresses
Primary practice location
9201 SE 91St Ave Ste 140
Portland, OR 97086-3760
Mailing address
1440 N Locust Grove Rd Unit 50B
Meridian, ID 83642-8270
Phone (503) 580-0616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-5183 | ID | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1821606948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 N LOCUST GROVE RD UNIT 50B",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428270",
"telephone_number": "503-580-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 SE 91ST AVE STE 140",
"city": "PORTLAND",
"state": "OR",
"postal_code": "970863760",
"telephone_number": "503-253-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOFIELD",
"first_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-14",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D-5183",
"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 Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.