Individual provider Active NPI

Richard F Ahyou, DMD

  • General Practice Dentistry
  • Oregon City, OR
National Provider Identifier
1982821633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8462 Issued in OR
Practice address
802 7TH St
Oregon City, OR 97045-2324
Phone
(503) 655-0613
Fax
(503) 655-3674
NPI assigned
Apr 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D8462 OR Primary

Addresses

Primary practice location

802 7TH St
Oregon City, OR 97045-2324

Mailing address

802 7TH St
Oregon City, OR 97045-2324
Phone (503) 655-0613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160526001850 OR Order and Referring Only - DentistPractitioner - Dentist 4284924655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D8462ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Edward a Gibb DMD PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982821633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 7TH ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452324",
            "telephone_number": "503-655-0613",
            "fax_number": "503-655-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 7TH ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452324",
            "telephone_number": "503-655-0613",
            "fax_number": "503-655-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHYOU",
        "first_name": "RICHARD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.