Rose City Dental Care LLC

Primary specialty

DentistTaxonomy code 122300000X

License

D7463 Issued in OR

Legal business name

ROSE CITY DENTAL CARE LLC

Practice address

2341 SE 122ND Ave
Portland, OR 97233

Phone

(503) 255-2415

Fax

(503) 261-0565

NPI assigned

Jul 2, 2010

Last updated

Jul 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John J. Lee, DDSNPI 1518020643

Title

Owner- General Dentist

Phone

(503) 255-2415

Specialties & licenses 1

Addresses

Other names 1

• Rose City Dental Care Former legal business name

Locations

Practitioners 1

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.

• John J Lee, DDS

  • Dentist
  • Portland, OR
  • NPI 1518020643
  NPD (past) Authorized official

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1922310242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97233",
            "telephone_number": "503-255-2415",
            "fax_number": "503-261-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97233",
            "telephone_number": "503-255-2415",
            "fax_number": "503-261-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER- GENERAL DENTIST",
        "authorized_official_telephone_number": "503-255-2415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D7463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose City Dental Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rose Cabinet Medicine LLC
• Rose City Baby
• Rose City Chiropractic Clinic Inc
• Rose City Clinic LLP
• Rose City Clinical Services
• Rose City Dental Hygiene LLC
• Rose City Dialysis, LLC (Fresenius Medical Care Maywood Park)
• Rose City Dialysis, LLC (Fresenius Kidney Care Rose Quarter)
• Rose City Dialysis, LLC (Fresenius Kidney Care Piedmont)
• Rose City Dialysis, LLC (Fresenius Medical Care Scholls Ferry)

• Dentist in Portland, OR
• Providers in Portland, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.