Mint Dental Works

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MINT DENTAL WORKS

Practice address

1401 SE Morrison St Ste 108
Portland, OR 97214-2777

Phone

(503) 254-1323

Fax

(503) 254-6626

NPI assigned

Apr 18, 2016

Organization subpart

No

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

Authorized official

Name

Jason McMillan

Title

DMD

Phone

(503) 254-1323

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1932553823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SE MORRISON ST STE 108",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142777",
            "telephone_number": "503-254-1323",
            "fax_number": "503-254-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SE MORRISON ST STE 108",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142777",
            "telephone_number": "503-254-1323",
            "fax_number": "503-254-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT DENTAL WORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "503-254-1323"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marie Minor, CRM
• Karen Gliceria Casumbal Minoza, MD
• Hannah Minsky
• Rachel Marie Minsky
• Mint Chiropractic LLC
• Rachel Minten
• Carolyn Minter, MD
• Nastashia Minto, OT ASSISTANT
• Kelli Minton
• Kerstin Minton, MS

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.