ROOTS ORTHODONTICS LLC (NPI# 1245742386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245742386 |
Entity Type | Organization |
Organization Name | ROOTS ORTHODONTICS LLC |
Other Organization Name | BRIDGETOWN ORTHODONTICS |
Practice Address |
9370 Sw Greenburg Rd Portland OR 97223-5442 |
Practice Telephone | 5032457670 |
Enumeration Date | 2017-10-30 |
Last Update Date | 2017-10-30 |
Authorized Official Name | RYAN SMITH (MEMBER) |
Authorized Official Telephone | 7166019468 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
Other Name | Type Code |
---|---|
Bridgetown Orthodontics | Doing Business As Name - Organization |
Street Address |
9370 SW GREENBURG RD |
City | PORTLAND |
State | OR |
Zip Code | 97223-5442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194726885 | Thomas Norman Barrett | Dentist | 9370 Sw Greenburg Rd, Suite 204, Portland, OR 97223-5442 | 2005-08-03 |
1184055469 | Theresa Marn Stein | Counselor | 9370 Sw Greenburg Rd, Suite 601, Portland, OR 97223-5442 | 2013-12-11 |
1023449188 | Pamela Smith | Counselor | 9370 Sw Greenburg Rd, Suite 601, Portland, OR 97223-5442 | 2013-11-27 |
1770913121 | Michael Mulligan | Counselor | 9370 Sw Greenburg Rd, Suite 601, Portland, OR 97223-5442 | 2013-11-22 |
1376973750 | Jesus Roberto Munoz-zarate | Counselor | 9370 Sw Greenburg Rd, Suite 601, Portland, OR 97223-5442 | 2013-11-20 |
1952743593 | Derek Chittenden | Massage Therapist | 9370 Sw Greenburg Rd, Ste 602, Portland, OR 97223-5442 | 2013-07-24 |
1962849307 | Open Advanced Mri of Portland Ps | Specialist/Technologist, Other | 9370 Sw Greenburg Rd, Portland, OR 97223-5442 | 2013-05-24 |
1841530763 | Oregon Fertility Institute Laboratory | Clinical Medical Laboratory | 9370 Sw Greenburg Rd, #412, Portland, OR 97223-5442 | 2013-03-01 |
1508135104 | Victoria A. Collins, Dc, PC | Chiropractor | 9370 Sw Greenburg Rd, Suite N, Portland, OR 97223-5442 | 2011-12-28 |
1275864662 | Charles Kirby Griffin | Preventive Medicine | 9370 Sw Greenburg Rd, Suite 200, Portland, OR 97223-5442 | 2010-01-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
Find all providers in zip 97223 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881209641 | Candid Maine PC | Dentist | 415 Congress St Ste 201, Portland, ME 04101-3500 | 2020-09-09 |
1013547116 | Comfort Orthodontics PC | Dentist | 1702 Us Highway 181 Ste A8, Portland, TX 78374-3588 | 2020-01-17 |
1306497094 | Smile Clinic, LLC | Dentist | 163 Fore St Ste A, Portland, ME 04101-6806 | 2019-09-24 |
1447721295 | Alix Jisun Leemin | Dentist | 2350 Sw Multnomah Blvd Ste C, Portland, OR 97219-3999 | 2018-12-05 |
1891208724 | Jd Miller Dds PC | Dentist | 2250 Nw Flanders St Ste 112, Portland, OR 97210-5409 | 2017-11-14 |
1487059986 | Damonco Pllc | Dentist | 1702 Hwy 181 N, Suite A-8, Portland, TX 78374-3588 | 2014-10-27 |
1437581881 | Tamara Justus | Dentist | 11790 Sw Barnes Rd Ste 390, Portland, OR 97225-5935 | 2013-08-07 |
1992146484 | Rachel Yamakawa | Dentist | 4419 Se Woodstock Blvd, Portland, OR 97206-6271 | 2013-07-11 |
1275974271 | Lauren Weber | Dentist | 0677 Sw Lowell St Apt 355, Portland, OR 97239-4423 | 2013-07-08 |
1255649885 | Marie Lathrop | Dentist | 5737 Se Milwaukie Ave, Portland, OR 97202-4919 | 2010-09-16 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.