NPIMap

Organization Active NPI

Laurelhurst Dentistry LLC

  • Dentist
  • Portland, OR
National Provider Identifier
1992982938
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D8292 Issued in OR
Legal business name
LAURELHURST DENTISTRY LLC
Practice address
2520 E Burnside St
Portland, OR 97214-1754
Phone
(503) 233-3622
Fax
(503) 233-5882
NPI assigned
Jan 22, 2008
Last updated
Aug 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Dr. Adrienne Fischl, D.M.DNPI 1801986724
Title
Owner/Dentist
Phone
(503) 233-3622

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
Dentist 122300000X D8292 OR Primary

Addresses

Primary practice location

2520 E Burnside St
Portland, OR 97214-1754

Mailing address

2520 E Burnside St
Portland, OR 97214-1754
Phone (503) 233-3622

National Provider Directory

National Provider Directory

Locations

2520 E Burnside St
Portland, OR 97214
Phone (503) 233-3622

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1992982938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141754",
            "telephone_number": "503-233-3622",
            "fax_number": "503-233-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141754",
            "telephone_number": "503-233-3622",
            "fax_number": "503-233-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURELHURST DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "FISCHL",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-233-3622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8292",
            "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 Aug 22, 2008; 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.