Healthy Smiles Dental Hygiene Clinic

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

H4964 Issued in OR

Legal business name

HEALTHY SMILES DENTAL HYGIENE CLINIC

Practice address

2262 N Albina Ave
Suite 127
Portland, OR 97227-1703

Phone

(971) 231-4959

NPI assigned

Nov 28, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Virginia Lee Mattfeld, RDH

Title

Owner /Independant Dental Hygienst

Phone

(971) 231-4959

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355011200000",
    "number": "1851636005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 N ALBINA AVE",
            "address_2": "SUITE 127",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271703",
            "telephone_number": "971-231-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 N ALBINA AVE",
            "address_2": "SUITE 127",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271703",
            "telephone_number": "971-231-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES DENTAL HYGIENE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-12-09",
        "status": "A",
        "authorized_official_last_name": "MATTFELD",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER /INDEPENDANT DENTAL HYGIENST",
        "authorized_official_telephone_number": "971-231-4959",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "H4964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Living Community
• Healthy Living Family Medicine, LLC
• Healthy Living Internal Medicine LLC
• Healthy Options Inc
• Healthy Options Inc.
• Angelie Rose Healy Cleaver, LCSW
• Alison Marie Healy, LAC
• Anne Healy, LCSW
• Bailey Rene Healy, MD
• Matthew Joseph Healy, MD

• Dental Clinic/Center in Portland, OR
• Providers in Portland, 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 Dec 9, 2012; 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.