Stanley W Bohnstedt DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6260 Issued in OR

Legal business name

STANLEY W BOHNSTEDT DMD PC

Practice address

15012 SE Stark St
Portland, OR 97233-2854

Phone

(503) 255-9339

NPI assigned

Feb 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stanley Walter Bohnstedt, D.M.D.NPI 1801005582

Title

President

Phone

(503) 255-9339

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley Walter Bohnstedt, D.M.D.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1801005582
  NPD (past) Authorized official

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1932387313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33226",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972923226",
            "telephone_number": "503-255-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15012 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972332854",
            "telephone_number": "503-255-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY W BOHNSTEDT DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "BOHNSTEDT",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-255-9339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "6260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray Stangeland, MD
• Nathanael Stanger, CADC II
• Juliann Massey Stanis, RN, IBCLC
• Jaede Stank
• Stanley L. Cohan, MD, Chartered
• Mary Stanley-Thompson, RPH
• Caroline Stanley, PA-C
• Dionna D Stanley
• Elisa A Stanley, L.M.T.
• Jesse Eli Stanley, RN

• Dental Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.