Individual provider Active NPI

Jeffrey B Vanorman, DMD

  • General Practice Dentistry
  • Lake Oswego, OR
National Provider Identifier
1902803984
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7342 Issued in OR
Practice address
320 A Ave
Lake Oswego, OR 97034-3056
Phone
(503) 675-0250
Fax
(503) 675-0244
NPI assigned
Jul 5, 2005
Reactivated
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D7342 OR Primary

Addresses

Primary practice location

320 A Ave
Lake Oswego, OR 97034-3056

Mailing address

320 A Ave
Lake Oswego, OR 97034-3056
Phone (503) 675-0250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200811001832 OR Practitioner - Dentist 2466878251 Practice locations: Lake Oswego, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902803984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 A AVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343056",
            "telephone_number": "503-675-0250",
            "fax_number": "503-675-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 A AVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343056",
            "telephone_number": "503-675-0250",
            "fax_number": "503-675-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANORMAN",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.