NW Implant Center LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NW IMPLANT CENTER LLC

Practice address

1002 NE 122ND Ave
Portland, OR 97230

Phone

(503) 922-2020

NPI assigned

Jan 25, 2021

Last updated

Jan 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tin Le, DMDNPI 1922299445

Title

Owner/Dentist

Phone

(503) 544-4889

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tin Minh Le, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Portland, OR
  • NPI 1922299445
  Authorized official Same address or phone
• Hyungsup Lee, DMD

  • General Practice Dentistry
  • Portland, OR
  • NPI 1972968345
  NPD (past)

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1861082638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 NE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97230",
            "telephone_number": "503-922-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 NE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97230",
            "telephone_number": "503-922-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW IMPLANT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-544-4889",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NW Case Management LLC
• NW Chiropractic & Medical Rehab (Hinojosa Chiropractic)
• NW Clinical Collective
• NW Dermatology and Research Center, LLC (NW Dermatology Institute)
• NW Headache and Wellness Institute PC
• NW Insituto Latino
• NW Internal Medicine
• NW Medical Center
• NW Neurophysiology Consultants
• NW Neurosurgery 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 Jan 25, 2021; 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.