Organization Active NPI

Karole H Wilson D.M.D., PC

  • Pediatric Dentistry
  • Portland, OR
National Provider Identifier
1902827199
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7753 Issued in OR
Legal business name
KAROLE H WILSON D.M.D., PC
Practice address
9370 SW Greenburg Rd Ste T
Portland, OR 97223-5408
Phone
(503) 245-1915
Fax
(503) 245-5956
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Karole H Wilson, D.M.D. PCNPI 1164445383
Title
Doctor
Phone
(503) 245-1915

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 7753 OR Primary

Addresses

Primary practice location

9370 SW Greenburg Rd Ste T
Portland, OR 97223-5408

Mailing address

9370 SW Greenburg Rd Ste T
Portland, OR 97223-5408
Phone (503) 245-1915

National Provider Directory

National Provider Directory

Locations

9370 SW Greenburg Rd
Ste T
Portland, OR 97223
Phone (503) 227-0535

Practitioners & affiliated clinicians

Practitioners 3

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902827199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 SW GREENBURG RD STE T",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235408",
            "telephone_number": "503-245-1915",
            "fax_number": "503-245-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 SW GREENBURG RD STE T",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235408",
            "telephone_number": "503-245-1915",
            "fax_number": "503-245-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAROLE H WILSON D.M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KAROLE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "503-245-1915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D. PC"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "7753",
            "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 Aug 22, 2020; 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.