NPIMap

Organization Active NPI

Tigard Triangle Smiles, PC

  • General Practice Dentistry
  • Tigard, OR
National Provider Identifier
1851654537
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TIGARD TRIANGLE SMILES, PC
Practice address
7275 SW Dartmouth St
Suite 180
Tigard, OR 97223-8623
Phone
(503) 620-2319
Fax
(503) 620-2008
NPI assigned
Jun 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Todd R Cockrell, DMD
Title
DMD/Owner
Phone
(503) 620-2319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7275 SW Dartmouth St
Suite 180
Tigard, OR 97223-8623

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Tigard Triangle Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

7275 SW Dartmouth St
Ste 180
Tigard, OR 97223
Phone (503) 620-2319

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1851654537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 SW DARTMOUTH ST",
            "address_2": "SUITE 180",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238623",
            "telephone_number": "503-620-2319",
            "fax_number": "503-620-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIGARD TRIANGLE SMILES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "COCKRELL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DMD/OWNER",
        "authorized_official_telephone_number": "503-620-2319",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tigard Triangle Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.