DR. MICHAEL CHARLES ROYSE (NPI# 1336146307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336146307 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL CHARLES ROYSE |
| Credential | D.M.D. |
| Practice Address |
511 Sw 10th Ave Suite #810 Portland OR 97205-2732 |
| Practice Telephone | 5032233910 |
| Practice Fax Number | 5032231123 |
| Mailing Telephone | 5032233910 |
| Mailing Fax Number | 5032231123 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2016-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D6613 | OR | Dental Providers |
| Street Address |
511 SW 10TH AVE SUITE #810 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861049835 | Jennifer Larson | Counselor | 511 Sw 10th Ave, Portland, OR 97205-2732 | 2019-08-23 |
| 1720528235 | Jessica Lyn Collins | Massage Therapist | 511 Sw 10th Ave, Suite 610, Portland, OR 97205-2732 | 2017-03-02 |
| 1205378858 | Lilyan Charlotte Russel Smith-moore | Counselor | 511 Sw 10th Ave, #601, Portland, OR 97205-2732 | 2016-11-14 |
| 1184073496 | Julia Richfield | Specialist | 511 Sw 10th Ave, 1108, Portland, OR 97205-2732 | 2016-06-07 |
| 1821463050 | Fox Kids Dentistry & Orthodontics | Dentist | 511 Sw 10th Ave, Suite 810, Portland, OR 97205-2732 | 2015-12-14 |
| 1477927580 | Jacquelin Perry | Massage Therapist | 511 Sw 10th Ave, Ste 610, Portland, OR 97205-2732 | 2015-12-01 |
| 1912382078 | Dana Fox | Dentist | 511 Sw 10th Ave, Ste 810, Portland, OR 97205-2732 | 2015-07-29 |
| 1336524206 | Drew Barrios | Specialist | 511 Sw 10th Ave, Suite 1108, Portland, OR 97205-2732 | 2015-07-21 |
| 1891179875 | Jessica Mintie Kloenne | Dentist | 511 Sw 10th Ave, Ste 804, Portland, OR 97205-2732 | 2015-07-20 |
| 1346631124 | Laura Kathryn Hanson | Massage Therapist | 511 Sw 10th Ave, Ste 1108, Portland, OR 97205-2732 | 2015-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700374154 | Fox Kids Dentistry & Orthodontics II | Dentist | 1401 Se Morrison St Ste 120, Portland, OR 97214-2777 | 2018-05-01 |
| 1679924526 | Pediatric Dentistry of Portland LLC | Dentist | 2811 Ne Wasco St, Portland, OR 97232-1771 | 2016-06-22 |
| 1801183488 | World of Smiles, Pediatric Dentistry LLC | Dentist | 11790 Sw Barnes Rd Ste 280, Portland, OR 97225-5935 | 2011-07-05 |
| 1265696629 | Angela Dawn Boydston | Dentist | 2824 Ne Wasco St Ste 230, Portland, OR 97232-1772 | 2008-07-15 |
| 1972639623 | Anastacia M. Whitman | Dentist | 4548 N Albina Ave, Portland, OR 97217-3010 | 2007-02-26 |
| 1114088705 | Michael Biermann | Dentist | 5900 N Lombard St, Portland, OR 97203-4118 | 2006-12-13 |
| 1053408005 | Peter John Lax | Dentist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2006-10-09 |
| 1376646901 | Krista V Badger Dds PC | Dentist | 3839 Ne Tillamook St, Portland, OR 97212-5338 | 2006-09-07 |
| 1902827199 | Karole H Wilson D.m.d., PC | Dentist | 9370 Sw Greenburg Rd Ste T, Portland, OR 97223-5408 | 2006-07-22 |
| 1083650436 | Susan J Russett-collett | Dentist | 888 Brighton Ave, Portland, ME 04102-1004 | 2006-06-22 |
| 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.