Ronald D Farris, DDM, LD

Primary specialty

DenturistTaxonomy code 122400000X

License

DT-DO-605320 Issued in OR

Practice address

21511 SE Stark St
Gresham, OR 97030-2025

Phone

(503) 666-1698

Fax

(503) 666-7734

NPI assigned

Dec 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Denture Studio

  • Denturist
  • Gresham, OR
  • NPI 1689093213
  NPD (past) Authorized official

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1952584237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21511 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302025",
            "telephone_number": "503-666-1698",
            "fax_number": "503-666-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21511 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302025",
            "telephone_number": "503-666-1698",
            "fax_number": "503-666-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "RONALD",
        "middle_name": "D",
        "credential": "DDM, LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "OR",
            "license": "DT-DO-605320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exodus LLC
• Eye Care Services, Inc.
• Preston Fabre, PWS, CRM II
• Sandra Renee Fairchild, LMT
• Myron Javon Falkner, PMHNP
• Noelle Fein, MS,RDN,LD
• Abigail Katheryn Feltner Smith, OTD
• Robert Francis Ferek, DDS
• Benjamin Ferguson, PA
• Jennifer Brooke Ferguson, M.ED.

• Denturist in Gresham, OR
• Providers in Gresham, OR by specialty
• Denturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.