BEAVERTON ORTHODONTICS, PC (NPI# 1447515747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447515747 |
| Entity Type | Organization |
| Organization Name | BEAVERTON ORTHODONTICS, PC |
| Practice Address |
14795 Sw Murray Scholls Dr Ste 119 Beaverton OR 97007-9713 |
| Mailing Address |
Po Box 1891 Lake Oswego OR 97035-0612 |
| Practice Telephone | 5035240524 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |
| Authorized Official Name | DR. STEVEN W. BLACK (PRESIDENT) |
| Authorized Official Telephone | 5035240524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D6736 | OR | Dental Providers |
| Street Address |
14795 SW MURRAY SCHOLLS DR STE 119 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97007-9713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770584419 | Eric A Downey | Dentist | 14795 Sw Murray Scholls Dr, Suite 116, Beaverton, OR 97007-9713 | 2005-08-03 |
| 1033424411 | Ashley Puleo Schaaf | Dentist | 14795 Sw Murray Scholls Dr, Suite 116, Beaverton, OR 97007-9713 | 2010-08-10 |
| 1720262322 | Murrayhill Pediatric Dentistry P.C. | Dentist | 14795 Sw Murray Scholls Dr, Suite #116, Beaverton, OR 97007-9713 | 2007-12-19 |
| 1174530091 | Steven W. Black | Dentist | 14795 Sw Murray Scholls Dr, Ste 119, Beaverton, OR 97007-9713 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1588181184 | Sarah Rennalls | Massage Therapist | 16315 Sw Barrows Road #203, Beaverton, OR 97007 | 2017-08-24 |
| 1982137501 | Patrick N Huynh | Nurse Practitioner | 14795 Sw Scholls Dr., Beaverton, OR 97007 | 2017-04-10 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1518211713 | Rosebelinda S Nelson | Dental Hygienist | 3895 Sw 18th Ave. #170, Aloha, OR 97007 | 2012-11-09 |
| 1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
| Find all providers in zip 97007 | ||||
| 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 |
|---|---|---|---|---|
| 1396884052 | Roy F Dornsife | Dentist | 8625 Sw Cascade Ave, Suite 105, Beaverton, OR 97008 | 2007-02-06 |
| 1659370468 | Kevin William Ensley | Dentist | 3810 Sw Hall Blvd, Beaverton, OR 97005-2048 | 2005-07-14 |
| 1972924595 | Camille Walker, Dds, P.C. | Dentist | 14780 Sw Osprey Dr, Beaverton, OR 97007-8028 | 2013-12-27 |
| 1376888297 | Ruben Isaias Alcazar | Dentist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2012-12-04 |
| 1598044802 | John F Delplanche | Dentist | 10700 Sw Beaverton Hillsdale Hwy, Suite 115, Beaverton, OR 97005-3019 | 2011-08-04 |
| 1821235839 | Eric C Burgin | Dentist | 16155 Nw Cornell Rd, Ste 450, Beaverton, OR 97006-4810 | 2009-01-13 |
| 1093916777 | Roy Franklin Dornsife | Dentist | 8625 Sw Cascade Ave, Suite 105, Beaverton, OR 97008 | 2007-05-30 |
| 1003032483 | Mark O Shoger | Dentist | 14780 Sw Osprey Dr, Suite 345, Beaverton, OR 97007-8028 | 2007-04-17 |
| 1831253335 | Mark James Vandusen | Dentist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2006-12-20 |
| 1174530091 | Steven W. Black | Dentist | 14795 Sw Murray Scholls Dr, Ste 119, Beaverton, OR 97007-9713 | 2006-08-02 |
| Find all providers in BEAVERTON | ||||
Please comment or provide details below to improve the information on BEAVERTON ORTHODONTICS, PC.
| 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.