JADE DENTAL LLC (NPI# 1003467358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003467358 |
| Entity Type | Organization |
| Organization Name | JADE DENTAL LLC |
| Practice Address |
12450 Sw Pioneer Ln Beaverton OR 97008-8377 |
| Mailing Address |
3570 Sw River Pkwy Unit 1611 Portland OR 97239-4544 |
| Practice Telephone | 5105014317 |
| Mailing Telephone | 5105014317 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Authorized Official Name | DR. PATRICK CHING HSIANG CHUANG (OWNER) |
| Authorized Official Telephone | 5105014317 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Smile Dental | Doing Business As Name - Organization |
| Street Address |
12450 SW PIONEER LN |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97008-8377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124543640 | Patrick Ching Hsiang Chuang | Dentist | 12450 Sw Pioneer Ln, Ste B, Beaverton, OR 97008-8377 | 2017-08-04 |
| 1265088512 | Jonathan Chunhan Lee | Dentist | 12450 Sw Pioneer Ln, Ste B, Beaverton, OR 97008 | 2019-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
| 1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
| 1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| Find all providers in zip 97008 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1457851495 | Cloud Nine Dental Care LLC | Clinic/Center | 8285 Sw Nimbus Ave Ste 185, Beaverton, OR 97008-6465 | 2018-02-16 |
| 1205447786 | Sleep Health Partners LLC | Clinic/Center | 17895 Nw Evergreen Pkwy Ste 130, Beaverton, OR 97006-7402 | 2020-08-10 |
| 1689292781 | Pacific Northwest Dental, LLC | Clinic/Center | 12725 Sw 2nd St, Beaverton, OR 97005-2708 | 2020-07-06 |
| 1326518119 | Magnolia Family Dentistry, LLC | Clinic/Center | 1791 Nw 173rd Ave Ste 110, Beaverton, OR 97006-5630 | 2018-12-05 |
| 1841724481 | Cherry Dental of Beaverton | Clinic/Center | 8070 Sw Hall Blvd, Suite 100, Beaverton, OR 97008-6419 | 2017-04-19 |
| 1093125353 | Apnea and Snoring Solutions, LLC | Clinic/Center | 14780 Sw Osprey Dr, Beaverton, OR 97007-8028 | 2014-05-07 |
| 1720322431 | Americaredental | Clinic/Center | 4350 Sw Cedar Hills Blvd Ste B, Beaverton, OR 97005-2013 | 2012-11-19 |
| 1619235983 | S. Alexander Marrero Dds, PC | Clinic/Center | 16400 Sw Hart Rd, Suite A, Beaverton, OR 97007-3457 | 2012-04-24 |
| 1750656377 | Irina Moga Dds | Clinic/Center | 4970 Sw Main Ave, Suite 200, Beaverton, OR 97005-2740 | 2012-03-14 |
| Find all providers in BEAVERTON | ||||
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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.