NPIMap

Organization Active NPI

Daniel J Ries, DMD, PC

  • Dental Clinic/Center
  • Gresham, OR
National Provider Identifier
1871768853
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6196 Issued in OR
Legal business name
DANIEL J RIES, DMD, PC
Practice address
1201 SE 223Rd Ave
Suite 140
Gresham, OR 97030-2574
Phone
(503) 665-8116
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Daniel James Ries, DMDNPI 1386715910
Title
Dentist/Owner
Phone
(503) 665-8116

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
Dental Clinic/Center 261QD0000X 6196 OR Primary

Addresses

Primary practice location

1201 SE 223Rd Ave
Suite 140
Gresham, OR 97030-2574

Mailing address

1201 SE 223Rd Ave
Suite 140
Gresham, OR 97030-2574
Phone (503) 665-8116

Other identifiers 1

IdentifierTypeStateIssuer
1386715910OtherORNPI ENTITY TYPE 1 INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

1201 SE 223rd Ave
Ste 140
Gresham, OR 97030
Phone (503) 665-8116

Practitioners & affiliated clinicians

Practitioners 2

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1871768853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SE 223RD AVE",
            "address_2": "SUITE 140",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302574",
            "telephone_number": "503-665-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SE 223RD AVE",
            "address_2": "SUITE 140",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302574",
            "telephone_number": "503-665-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J RIES, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "RIES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "503-665-8116",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "6196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ENTITY TYPE 1 INDIVIDUAL",
            "identifier": "1386715910",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.