Organization Active NPI

Medical Teams International

  • Dentist
  • Portland, OR
National Provider Identifier
1972117588
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MEDICAL TEAMS INTERNATIONAL
Practice address
14150 SW Milton CT
Portland, OR 97224-8024
Phone
(503) 593-9599
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Dr. Cassondra Phillipsen, DMDNPI 1588071666
Title
Dental Director
Phone
(503) 593-9599

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

14150 SW Milton CT
Portland, OR 97224-8024

Mailing address

14150 SW Milton CT
Portland, OR 97224-8024
Phone (503) 593-9599

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2200576Medical Teams International14150 SW Milton CT, Tigard, OR 97224Certificate of waiverNov 15, 2026

National Provider Directory

National Provider Directory

Locations

14150 SW Milton Ct
Tigard, OR 97224
Phone (503) 593-9599

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHGICD

Practitioners & affiliated clinicians

Practitioners 1

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": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1972117588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 SW MILTON CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972248024",
            "telephone_number": "503-593-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 SW MILTON CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972248024",
            "telephone_number": "503-593-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TEAMS INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "PHILLIPSEN",
        "authorized_official_first_name": "CASSONDRA",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "503-593-9599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.