Organization Active NPI

Little Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • Portland, OR
National Provider Identifier
1891952982
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D8889 Issued in OR
Legal business name
LITTLE SMILES PEDIATRIC DENTISTRY
Practice address
8708 SE 17TH Ave
Portland, OR 97202-7331
Phone
(503) 235-0313
NPI assigned
May 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Dr. Cynthia Patricia Pelley, D.M.D.NPI 1932249232
Title
P.C., Pediatric Dentist
Phone
(503) 235-0313

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X D8889 OR Primary

Addresses

Primary practice location

8708 SE 17TH Ave
Portland, OR 97202-7331

Mailing address

8708 SE 17TH Ave
Portland, OR 97202-7331
Phone (503) 235-0313

National Provider Directory

National Provider Directory

Locations

8708 SE 17th Ave
Portland, OR 97202
Phone (503) 235-0313

Practitioners & affiliated clinicians

Practitioners 1

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": "1210982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1891952982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 SE 17TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027331",
            "telephone_number": "503-235-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8708 SE 17TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027331",
            "telephone_number": "503-235-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SMILES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-17",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "PELLEY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "P.C., PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "503-235-0313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D8889",
            "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 Sep 27, 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.

Verify at the official NPI Registry.