King Road Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6274 Issued in OR

Legal business name

KING ROAD FAMILY DENTISTRY

Doing business as

Ross Hoevet DMD

Practice address

13520 SE 97TH Ave
Clackamas, OR 97015-7691

Phone

(503) 652-2689

Fax

(503) 652-2638

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ross Howard Hoevet, DMDNPI 1205837135

Title

Owner/Operator

Phone

(503) 652-2689

Specialties & licenses 1

Addresses

Other names 1

• Ross Hoevet DMD Doing business as

Locations

Practitioners 1

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

• Ross Howard Hoevet, DMD

  • Dentist
  • Clackamas, OR
  • NPI 1205837135
  NPD (past) Authorized official

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1952575433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13520 SE 97TH AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157691",
            "telephone_number": "503-652-2689",
            "fax_number": "503-652-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13520 SE 97TH AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157691",
            "telephone_number": "503-652-2689",
            "fax_number": "503-652-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING ROAD FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "HOEVET",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "503-652-2689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ross Hoevet DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Jyong Won Kim I, MD
• Morris Maroo Kim, MD
• Alexa Dorothy Kimball, CRNA
• Melissa Rae Kinder, MD
• Kyle James Kinderknecht, M.D.
• Alice King, MD
• Daniel F King, M.D.
• Jerry Everett King, M.D.
• Lia Elizabeth King, RRT
• Melinda Kingery

• General Practice Dentistry in Clackamas, OR
• Providers in Clackamas, 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 16, 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.