Active NPI
Jeffrey Firestone, DDS
- Dentist
- Portland, OR
National Provider Identifier
1922269885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D9106
- Practice address
- 732 SW 3Rd Ave
Suite 202
Portland, OR 97204-2416 - Phone
- (503) 541-2580
- NPI assigned
- Jun 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D9106 | OR | Primary |
Addresses
Primary practice location
732 SW 3Rd Ave
Suite 202
Portland, OR 97204-2416
Mailing address
1740 W 17TH Ave
Eugene, OR 97402-3619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9106 | OR | MD | Dentist |
Interoperability endpoints
- jfirestone244632@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1922269885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 W 17TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974023619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 SW 3RD AVE",
"address_2": "SUITE 202",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972042416",
"telephone_number": "503-541-2580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIRESTONE",
"first_name": "JEFFREY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-23",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D9106",
"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 Jun 23, 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.