NPIMap

Organization Active NPI

Alexandroff DMD PC

Doing business as Alexandroff Dental

  • General Practice Dentistry
  • Warrenton, OR
National Provider Identifier
1861900318
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALEXANDROFF DMD PC
Doing business as
Alexandroff Dental
Practice address
1630 SE Ensign Lane
Warrenton, OR 97146
Phone
(503) 325-3230
Fax
(503) 717-8790
NPI assigned
Jan 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Dr. Roman Alexandroff, D.M.D., F.A.G.D.NPI 1811188824
Title
Vice President
Phone
(503) 325-3230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X OR Primary

Addresses

Primary practice location

1630 SE Ensign Lane
Warrenton, OR 97146

Mailing address

1630 SE Ensign Lane
Warrenton, OR 97146
Phone (503) 325-3230

Other names 1

  • Alexandroff Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alexandroff DMD PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1630 SE Ensign Ln
Warrenton, OR 97146
Phone (503) 325-3230

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1861900318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 SE ENSIGN LANE",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "97146",
            "telephone_number": "503-325-3230",
            "fax_number": "503-717-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 SE ENSIGN LANE",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "97146",
            "telephone_number": "503-325-3230",
            "fax_number": "503-717-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDROFF DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "ALEXANDROFF",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "503-325-3230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D.,  F.A.G.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexandroff Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrenton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.