DR. SHUFANG AMY LAI (NPI# 1508854241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508854241 |
| Entity Type | Individual |
| Full Name | DR. SHUFANG AMY LAI |
| Credential | DDS |
| Practice Address |
2442 Se 101st Ave Suite 303 Portland OR 97216-3060 |
| Mailing Address |
2442 Se 101st Avenue Suite 303 Portland OR 94216-3060 |
| Practice Telephone | 5032537579 |
| Practice Fax Number | 5032537579 |
| Mailing Telephone | 5032537579 |
| Mailing Fax Number | 5032537579 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
06632 | OR | Dental Providers |
| Street Address |
2442 SE 101ST AVE SUITE 303 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578015970 | Balanced Health Chiropractic, LLC | Clinic/Center | 2442 Se 101st Ave, Suite 205, Portland, OR 97216-3060 | 2016-11-01 |
| 1326405705 | Sarah Reid | Acupuncturist | 2442 Se 101st Ave, Ste 308, Portland, OR 97216-3060 | 2016-01-15 |
| 1518212638 | Curita Family Health Clinic | Clinic/Center | 2442 Se 101st Ave, Suite 104, Portland, OR 97216-3060 | 2012-07-14 |
| 1841545092 | Mountain Lake Wellness LLC | Acupuncturist | 2442 Se 101st Ave, Suite 308, Portland, OR 97216-3060 | 2012-07-13 |
| 1851657480 | Roots Myofascial Release LLC | Clinic/Center | 2442 Se 101st Ave, Portland, OR 97216-3060 | 2012-04-09 |
| 1992000277 | Marco Jan Madian | Technician, Other | 2442 Se 101st Ave, Ste 206, Portland, OR 97216-3060 | 2011-01-19 |
| 1902122302 | Tanneke Zoe Olund | Massage Therapist | 2442 Se 101st Ave, Portland, OR 97216 | 2010-04-12 |
| 1922137801 | Lawrence Timothy Sellers | Chiropractor | 2442 Se 101st Ave, Ste 103, Portland, OR 97216 | 2007-03-05 |
| 1700914678 | Dennis Herman Eaton | Physical Therapist | 2442 Se 101st Ave, Suite 307, Portland, OR 97216-3060 | 2007-03-01 |
| 1043366867 | Deborah Y Thomas | Technician, Other | 2442 Se 101st Ave, Suite 206, Portland, OR 97216-3060 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| 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.