TEAMSTERS DENTAL CENTER
NPI 1518090323
Clinic/Center - Dental in Portland, OR

NPI Status: Active since March 13, 2007

Contact Information

1890 NE 162ND AVE
PORTLAND, OR
ZIP 97230
Phone: (503) 257-9836
Fax: (503) 257-3723

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance
  • CLIA Number: 38D0704648
  • CLIA Cert. Type: Other - FIRE EMS
  • CLIA Exp. Date: 12-31-2025

About TEAMSTERS DENTAL CENTER

This page provides the complete NPI Profile along with additional information for Teamsters Dental Center, a provider established in Portland, Oregon operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1518090323 assigned on March 2007. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Teamsters Dental Center. The authorized official of this NPI record is Dr. Farid Bolouri Dmd (Dental Director Dentist)

NPI
1518090323
Provider Legal Name
PORTLAND DENTAL ASSOCIATES PC
Other Organization Name
TEAMSTERS DENTAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1890 NE 162ND AVE PORTLAND, OR 97230
Location Phone
(503) 257-9836
Location Fax
(503) 257-3723
Mailing Address
1890 NE 162ND AVE PORTLAND, OR 97230
Mailing Phone
(503) 257-9836
Mailing Fax
(503) 257-3723
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2007
Last Update Date
07-21-2022
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License State
OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. FARID BOLOURI DMD

Authorized Official Title
DENTAL DIRECTOR DENTIST
Authorized Official Phone
(503) 257-9836

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D0704648
Facility Type
Other - FIRE EMS
Certificate Effective Date
January 01, 2024
Certificate Expiration Date
December 31, 2025
Laboratory Director
JONATHAN JUI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Teamsters Dental Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for TEAMSTERS DENTAL CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1518090323, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 2 + 8 + 0 + 9 + 0 + 3 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1518090323.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Optometrist
1890 NE 162ND AVE
PORTLAND, OR 97230
Health Maintenance Organization
1890 NE 162ND AVE
PORTLAND, OR 97230
Dentist
1890 NE 162ND AVE
PORTLAND, OR 97230
Dental Hygienist
1890 NE 162ND AVE
PORTLAND, OR 97230
Dentist
1890 NE 162ND AVE
PORTLAND, OR 97230
Dental Hygienist
1890 NE 162ND AVE
PORTLAND, OR 97230

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518090323, enumerated as an "organization" on March 13, 2007.

The provider is located at 1890 NE 162ND AVE PORTLAND, OR 97230 and the phone number is (503) 257-9836.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.