Active NPI
Navid O Newport, DDS
- Dentist
- Newberg, OR
National Provider Identifier
1851481238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00010688
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD4177 | Medicaid | AK | |
| 1959872 | Other | UNITED CONCORDIA | |
| 500636537 | Medicaid | OR | |
| 5058136 | Medicaid | WA |
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 |
|---|---|---|---|
| 1258 | AK | MD | Dentist |
| DE00010688 | WA | MD | Dentist |
| D9524 | OR | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newberg Kids Dentist LLC | Past | Accepting new patients | |
| House, Lee, Mast, McDonald and Nelson, PC | Dentist | Past | Accepting new patients |
| Oregon Family Orthodontics LLC | Past | 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.
-
- Dental Clinic/Center
- Newberg, OR
- NPI 1154746758
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Eugene, OR
- NPI 1467900241
-
- Pediatric Dentistry
- Pasco, WA
- NPI 1033347950
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.