Thomas Grass, DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THOMAS GRASS, DMD LLC

Practice address

15925 SE Stark St
Portland, OR 97233-3525

Phone

(503) 253-1096

Fax

(503) 253-0291

NPI assigned

Sep 6, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Thomas James Grass, DMDNPI 1912554601

Title

Owner

Phone

(503) 702-3080

Specialties & licenses 1

Addresses

Other names 1

• EAST CITY DENTAL Doing business as

Locations

Practitioners 1

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

• Thomas James Grass, DMD

  • General Practice Dentistry
  • Waco, TX
  • NPI 1912554601
  NPD Authorized official

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1851940407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15925 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972333525",
            "telephone_number": "503-253-1096",
            "fax_number": "503-253-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15925 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972333525",
            "telephone_number": "503-253-1096",
            "fax_number": "503-253-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS GRASS, DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "GRASS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-702-3080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST CITY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randi Weber Thoma, LPC
• Jennifer Thoman, ND
• Thomas a Base DMD
• Thomas a Firth MD PC
• Thomas D. Pollard DMD, PC
• Agnes Thomas Hall
• Thomas J Flath DMD PC
• Thomas Jay Rosenbaum MD PC
• Thomas M. Barreto, O.D., P.C.
• Thomas R. Palmer DPM LLC

• 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 Sep 6, 2019; 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.