Organization Active NPI

Dentistry by Design, PC

  • General Practice Dentistry
  • Beaverton, OR
National Provider Identifier
1851353296
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7585 Issued in OR
Legal business name
DENTISTRY BY DESIGN, PC
Practice address
11380 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3018
Phone
(503) 626-7323
NPI assigned
Apr 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Sheida Kharrazi, DMD
Title
Owner/Practitioner
Phone
(503) 626-7323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D7585 OR Primary

Addresses

Primary practice location

11380 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3018

Mailing address

PO Box 1420
Beaverton, OR 97075-1420
Phone (503) 626-7323

National Provider Directory

National Provider Directory

Locations

11380 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005
Phone (503) 626-7323

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1851353296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1420",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970751420",
            "telephone_number": "503-626-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 SW BEAVERTON HILLSDALE HWY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053018",
            "telephone_number": "503-626-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY BY DESIGN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "KHARRAZI",
        "authorized_official_first_name": "SHEIDA",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "503-626-7323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.