NPIMap

Organization Active NPI

NW Assets, LLC

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1932376928
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6372 Issued in OR
Legal business name
NW ASSETS, LLC
Practice address
4413 SE 39TH Ave
Portland, OR 97202-3117
Phone
(503) 777-2284
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Dr. Jeffrey Nicholson, D.M.D.NPI 1720027485
Title
Dentist
Phone
(503) 777-2284

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6372 OR Primary

Addresses

Primary practice location

4413 SE 39TH Ave
Portland, OR 97202-3117

Mailing address

25 NW 23Rd PL
Suite 6-142
Portland, OR 97210-5580

Other names 1

  • Nicholson Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

25 NW 23rd Pl
Ste 6142
Portland, OR 97210

Practitioners & affiliated clinicians

Practitioners 1

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": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1932376928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NW 23RD PL",
            "address_2": "SUITE 6-142",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 SE 39TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023117",
            "telephone_number": "503-777-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW ASSETS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-777-2284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicholson Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 9, 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.