Fusion Dental Specialists

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

D8178 Issued in OR

Legal business name

FUSION DENTAL SPECIALISTS

Practice address

9300 SE 91St Ave Ste 403
Happy Valley, OR 97086-3762

Phone

(503) 653-2299

Fax

(503) 774-4154

NPI assigned

Sep 29, 2014

Organization subpart

No

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

Authorized official

Name

Reva Barewal, DDSNPI 1689888786

Title

Owner

Phone

(503) 653-2299

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Reva M Barewal, D.D.S.,M.S.

  • Prosthodontics
  • Happy Valley, OR
  • NPI 1689888786
  NPD (past) Authorized official
• Lillian Pham Nguyen, DMD, MS

  • Student in an Organized Health Care Education/Training Program
  • Tigard, OR
  • NPI 1144741083
  NPD (past)
• Fransiskus Andrianto Tjiptowidjojo, D.D.S., M.S.

  • Prosthodontics
  • Happy Valley, OR
  • NPI 1578985495
  NPD (past)

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1972906428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 403",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-653-2299",
            "fax_number": "503-774-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 403",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-653-2299",
            "fax_number": "503-774-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION DENTAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "BAREWAL",
        "authorized_official_first_name": "REVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-653-2299",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OR",
            "license": "D8178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Freadman, BSN
• Fred Meyer Stores Inc
• William Lee Frenzel Sr., RPH
• Elizabeth Frisby, RN
• Stephen Bernard Fritz, MD
• Fve Managers, Inc.
• G. Waters & Associates, Inc.
• Brenda Gallagher
• Karson Gallagher, MSW
• Andrew Curtis Gandert, FNP-C

• Customized Equipment (DME) in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Customized Equipment (DME) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.