Active NPI
Michael L Plunkett, DDS, MPH
- Dentist
- Portland, OR
National Provider Identifier
1982684809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D8894
- Practice address
- 214 N. Russell Street
Portland, OR 97227 - Phone
- (503) 494-0566
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D8894 | OR | Primary |
Addresses
Primary practice location
214 N. Russell Street
Portland, OR 97227
Mailing address
611 SW Campus Drive
Department of Community Dentistry, School of Dentistry
Portland, OR 97239-3097
Phone (503) 494-0566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0239651 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8894 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1982684809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 SW CAMPUS DRIVE",
"address_2": "DEPARTMENT OF COMMUNITY DENTISTRY, SCHOOL OF DENTISTRY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393097",
"telephone_number": "503-494-0566",
"fax_number": "503-494-8839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 N. RUSSELL STREET",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97227",
"telephone_number": "503-494-0566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUNKETT",
"first_name": "MICHAEL",
"middle_name": "L",
"credential": "DDS, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D8894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0239651",
"state": "OR"
}
],
"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 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.