NPIMap

Organization Active NPI

Gladstone Family Dentistry

  • Dental Clinic/Center
  • Gladstone, OR
National Provider Identifier
1881860914
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D6082 Issued in OR
Legal business name
GLADSTONE FAMILY DENTISTRY
Practice address
1105 Portland Ave
Gladstone, OR 97027-2170
Phone
(503) 657-3077
Fax
(503) 655-5729
NPI assigned
May 8, 2008
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Jeremy Kato, DDSNPI 1922116359
Title
Managing Owner
Phone
(503) 657-3077

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D8790 OR
Dental Clinic/Center 261QD0000X D6082 OR Primary

Addresses

Primary practice location

1105 Portland Ave
Gladstone, OR 97027-2170

Mailing address

1105 Portland Ave
Gladstone, OR 97027-2170
Phone (503) 657-3077

National Provider Directory

National Provider Directory

Locations

1105 Portland Ave
Gladstone, OR 97027
Phone (503) 657-3077

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1881860914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 PORTLAND AVE",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272170",
            "telephone_number": "503-657-3077",
            "fax_number": "503-655-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 PORTLAND AVE",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272170",
            "telephone_number": "503-657-3077",
            "fax_number": "503-655-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADSTONE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "KATO",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "503-657-3077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8790",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D6082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.