Organization Active NPI

Kendall R. Liday DDS LLC

  • General Practice Dentistry
  • Scappoose, OR
National Provider Identifier
1912179201
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8458 Issued in OR
Legal business name
KENDALL R. LIDAY DDS LLC
Practice address
33640 E Columbia Ave
Scappoose, OR 97056-3425
Phone
(503) 543-4949
Fax
(503) 543-7152
NPI assigned
Mar 27, 2008
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Dr. Kendall R Liday, DDSNPI 1740378223
Title
Owner
Phone
(503) 543-4949

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
General Practice Dentistry 1223G0001X D8458 OR Primary

Addresses

Primary practice location

33640 E Columbia Ave
Scappoose, OR 97056-3425

Mailing address

33640 E Columbia Ave
Scappoose, OR 97056-3425
Phone (503) 543-4949

National Provider Directory

National Provider Directory

Locations

33640 E Columbia Ave
Scappoose, OR 97056
Phone (503) 432-4844

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1912179201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33640 E COLUMBIA AVE",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970563425",
            "telephone_number": "503-543-4949",
            "fax_number": "503-543-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33640 E COLUMBIA AVE",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970563425",
            "telephone_number": "503-543-4949",
            "fax_number": "503-543-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL R. LIDAY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "LIDAY",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-543-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scappoose, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.