Organization Active NPI

Zoomcare Dental, P.C.

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1881082097
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10037 Issued in OR
Legal business name
ZOOMCARE DENTAL, P.C.
Practice address
3130 SE Division Street
Building 2
Portland, OR 97202
Phone
(503) 684-8252
Fax
(866) 859-8195
NPI assigned
Dec 23, 2014
Last updated
Dec 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
William Shipley, DDS
Title
Director
Phone
(503) 684-8252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D10037 OR Primary

Addresses

Primary practice location

3130 SE Division Street
Building 2
Portland, OR 97202

Mailing address

19075 NW Tanasbourne Dr
Suite 200
Hillsboro, OR 97124-5860
Phone (503) 684-8252

National Provider Directory

National Provider Directory

Locations

3130 SE Division St
Bldg 2
Portland, OR 97202

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1881082097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19075 NW TANASBOURNE DR",
            "address_2": "SUITE 200",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245860",
            "telephone_number": "503-684-8252",
            "fax_number": "866-859-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SE DIVISION STREET",
            "address_2": "BUILDING 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-684-8252",
            "fax_number": "866-859-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOOMCARE DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "SHIPLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-684-8252",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.