Cherry Dental of Beaverton

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHERRY DENTAL OF BEAVERTON

Practice address

8070 SW Hall Blvd
Suite 100
Beaverton, OR 97008-6419

Phone

(503) 567-7461

Fax

(503) 641-6431

NPI assigned

Apr 19, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Kati Marecek

Title

Office Manager

Phone

(503) 644-1110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1841724481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8070 SW HALL BLVD",
            "address_2": "SUITE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086419",
            "telephone_number": "503-567-7461",
            "fax_number": "503-641-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8070 SW HALL BLVD",
            "address_2": "SUITE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086419",
            "telephone_number": "503-567-7461",
            "fax_number": "503-641-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY DENTAL OF BEAVERTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "MARECEK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "KATI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-644-1110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shuang Chen, MD
• U-Shan Chen
• Dustin Craig Cheney, DO
• Elizabeth Chenven
• Aleksandr P Chernousov
• Katie H Cherry, RDH
• Somla Cheun, DC
• Somsay L Cheun, LMT
• Vansay Cheun, L.AC, MLT(ASCP)
• Jessica Cheung, OD

• Dental Clinic/Center in Beaverton, OR
• Providers in Beaverton, 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 Apr 19, 2017; 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.