Organization Active NPI

Tualatin Dental Care, P.C.

  • General Practice Dentistry
  • Tualatin, OR
National Provider Identifier
1962619874
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6992 Issued in OR
Legal business name
TUALATIN DENTAL CARE, P.C.
Practice address
8375 SW Warm Springs St
Tualatin, OR 97062-9003
Phone
(503) 885-8899
Fax
(503) 885-8721
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Pari Samani, DMDNPI 1144228602
Title
Part Owner
Phone
(503) 885-8899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D6992 OR Primary

Addresses

Primary practice location

8375 SW Warm Springs St
Tualatin, OR 97062-9003

Mailing address

8375 SW Warm Springs St
Tualatin, OR 97062-9003
Phone (503) 885-8899

National Provider Directory

National Provider Directory

Locations

8375 SW Warm Springs St
Tualatin, OR 97062
Phone (503) 885-8899

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962619874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8375 SW WARM SPRINGS ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629003",
            "telephone_number": "503-885-8899",
            "fax_number": "503-885-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 SW WARM SPRINGS ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629003",
            "telephone_number": "503-885-8899",
            "fax_number": "503-885-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUALATIN DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMANI",
        "authorized_official_first_name": "PARI",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "503-885-8899",
        "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": "D6992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.