Active NPI
Value Dental LLC
- Dental Clinic/Center
- Portland, OR
National Provider Identifier
1962282988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- VALUE DENTAL LLC
- Practice address
- 15012 SE Stark St
Portland, OR 97233-2854 - Phone
- (503) 255-9339
- NPI assigned
- Oct 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clark Fairbanks Brinton, DMD
- Title
- Member
- Phone
- (505) 273-4994
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
15012 SE Stark St
Portland, OR 97233-2854
Mailing address
15012 SE Stark St
Portland, OR 97233-2854
National Provider Directory
National Provider DirectoryLocations
15012 SE Stark St
Portland, OR 97233
Phone (503) 255-9339
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Portland, OR
- NPI 1801005582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696464000000",
"number": "1962282988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15012 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972332854"
},
{
"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": "VALUE DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-05",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A",
"authorized_official_last_name": "BRINTON",
"authorized_official_first_name": "CLARK",
"authorized_official_middle_name": "FAIRBANKS",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "505-273-4994",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Luis A Valls, MD
- Anusha Vallurupalli, M.D.
- Anya Valsamakis, LCSW
- Value Creation Educational and Counseling Services PDX LLC
- Value Creation Educational and Counseling Services PDX LLC
- Valued Insight Psychotherapy, LLC
- Thomas Joseph Valvano, M.D.
- Michael Joseph Valverde IV
- Jamie Van Auken
- Jessica Van Auken
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.