Elliott Dentistry, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELLIOTT DENTISTRY, PC

Practice address

202 NE 181St Ave Ste a
Portland, OR 97230-6664

Phone

(503) 661-6111

NPI assigned

Jul 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Rachelle Elliott, DDS

Title

Owner

Phone

(503) 661-6111

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachelle Sohler, D.D.S.

  • Dentist
  • Portland, OR
  • NPI 1982842407
  NPD
• Timothy J Elliott, DMD

  • General Practice Dentistry
  • Portland, OR
  • NPI 1932428794
  NPD (past)

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1902579832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 NE 181ST AVE STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306664",
            "telephone_number": "503-661-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 NE 181ST AVE STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306664",
            "telephone_number": "503-661-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-661-6111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285242354",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@elliott-dentistry.com",
            "affiliation": "N",
            "address_1": "202 NE 181st Ave Ste A",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972306664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Quinn Ellingsen
• Marie Cederna Ellingson, RPT
• Ellingson'S Inc.
• Angie Elliot, ND, LAC
• Diane Louise Elliot, MD
• Kendra Irene Elliott Green, DNP, CNM
• Christopher Leshawn Elliott-Person
• Cameron Elliott
• Candia Elliott, CADC II
• Caroleigh Jean Elliott, DC

• Dental Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.