ALANIZ FAMILY & COSMETIC DENTISTRY PC NPI 1962930362

NPI Information

NPI: 1962930362
Provider Name: ALANIZ FAMILY & COSMETIC DENTISTRY, PC

Other Name: ALANIZ DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
11701 SE STARK ST
PORTLAND, OR
ZIP 97216
Phone: (503) 262-1996
Get Directions

ALANIZ FAMILY & COSMETIC DENTISTRY, PC is a dental clinic center in Portland, OR. ALANIZ FAMILY & COSMETIC DENTISTRY, PC NPI is 1962930362. The provider is registered as an organization entity type.
The provider Other Name Is Alaniz Dental.

The provider's business location address is:

11701 SE STARK ST
PORTLAND, OR
ZIP 97216-759
Phone: (503) 262-1996

The provider's authorized official is Abel Ahumada Alaniz .
The authorized official title is President and has the following contact phone number (503) 262-1996.

The enumeration date for this NPI number is 5/30/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	D8603	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500682004	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »