David a. Goldwyn, DDS, PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D8010 Issued in OR

Legal business name

DAVID A. GOLDWYN, DDS, PC

Doing business as

Portland Periodontics

Practice address

2350 SW Multnomah Blvd
Portland, OR 97219-3999

Phone

(503) 245-0180

Fax

(503) 452-3634

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

David A Goldwyn, D.D.S.NPI 1962496315

Title

Periodontist

Phone

(503) 245-0180

Specialties & licenses 1

Addresses

Other names 1

• Portland Periodontics Doing business as

Locations

Practitioners 1

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

• David Adam Goldwyn, DDS

  • Periodontics
  • Portland, OR
  • NPI 1962496315
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972666956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 SW MULTNOMAH BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193999",
            "telephone_number": "503-245-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 SW MULTNOMAH BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193999",
            "telephone_number": "503-245-0180",
            "fax_number": "503-452-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. GOLDWYN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDWYN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "503-245-0180",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D8010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dodie Davey, LMT
• Matthew Paul Davey, M.D.
• Michael Patrick Davey, MD
• Karen Davi
• David a Day DC PC (Day Chiropractic)
• David a. Sleman Chiropractic P.C. (Bethany Chiropractic)
• David B. Wilkinson MD PC
• David Douglas School District
• David E Bilstrom MD, PC
• David Higginson DC PC (Highland Chiropractic Clinic)

• Periodontics in Portland, OR
• Providers in Portland, OR by specialty
• Periodontics in Oregon

• 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.