Active NPI
Douglas William Shafer, DDS
- Dentist
- Hillsboro, OR
National Provider Identifier
1881959120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D9744
- Practice address
- 1200 NE 48TH Ave Ste 1400
Hillsboro, OR 97124-5006 - Phone
- (503) 844-6550
- Fax
- (503) 844-7121
- NPI assigned
- Jul 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D9744 | OR | Primary |
Addresses
Primary practice location
1200 NE 48TH Ave Ste 1400
Hillsboro, OR 97124-5006
Mailing address
1200 NE 48TH Ave Ste 1400
Hillsboro, OR 97124-5006
Phone (503) 844-6550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9744 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342051200000",
"number": "1881959120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 NE 48TH AVE STE 1400",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245006",
"telephone_number": "503-844-6550",
"fax_number": "503-844-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NE 48TH AVE STE 1400",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245006",
"telephone_number": "503-844-6550",
"fax_number": "503-844-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFER",
"first_name": "DOUGLAS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-12",
"last_updated": "2012-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D9744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.