NPIMap

Organization Active NPI

Nevills Family Dentistry, PC

  • General Practice Dentistry
  • Aloha, OR
National Provider Identifier
1962747618
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6095 Issued in OR
Legal business name
NEVILLS FAMILY DENTISTRY, PC
Practice address
18540 SW Vincent St
Aloha, OR 97078-1578
Phone
(503) 649-3232
Fax
(503) 649-0362
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
David Eugene Nevills, DMDNPI 1649266206
Title
President
Phone
(503) 649-3232

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 D6095 OR Primary

Addresses

Primary practice location

18540 SW Vincent St
Aloha, OR 97078-1578

Mailing address

18540 SW Vincent St
Aloha, OR 97078-1578
Phone (503) 649-3232

National Provider Directory

National Provider Directory

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": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1962747618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18540 SW VINCENT ST",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970781578",
            "telephone_number": "503-649-3232",
            "fax_number": "503-649-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18540 SW VINCENT ST",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970781578",
            "telephone_number": "503-649-3232",
            "fax_number": "503-649-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVILLS FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "NEVILLS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-649-3232",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aloha, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.