Individual provider Active NPI

Navid O Newport, DDS

  • Dentist
  • Newberg, OR
National Provider Identifier
1851481238
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00010688 Issued in WA
Practice address
2502 Portland Rd
Newberg, OR 97132-1923
Phone
(503) 538-4289
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1258 AK
Pediatric Dentistry 1223P0221X D9524 OR
Dentist 122300000X DE00010688 WA Primary

Addresses

Primary practice location

2502 Portland Rd
Newberg, OR 97132-1923

Mailing address

7425 Wrigley Dr
#201
Pasco, WA 99301-5292
Phone (509) 543-4948

Other identifiers 4

IdentifierTypeStateIssuer
DD4177MedicaidAK
1959872OtherUNITED CONCORDIA
500636537MedicaidOR
5058136MedicaidWA

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

LicenseStateTypeSpecialty
1258AKMDDentist
DE00010688WAMDDentist
D9524ORMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Newberg Kids Dentist LLC PastSince Jun 23, 2024 Accepting new patients
House, Lee, Mast, McDonald and Nelson, PC Dentist Past Accepting new patients
Oregon Family Orthodontics LLC PastSince Dec 8, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1851481238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 WRIGLEY DR",
            "address_2": "#201",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015292",
            "telephone_number": "509-543-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 PORTLAND RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321923",
            "telephone_number": "503-538-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWPORT",
        "first_name": "NAVID",
        "middle_name": "O",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1258",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D9524",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD4177",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1959872",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500636537",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5058136",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.