OrganizationActive
Roots Dental Broadway LLC
NPI 1568977817 · Dental Clinic/Center · Portland, OR
Roots Dental Broadway LLC is a Dental Clinic/Center organization in Portland, OR (NPI 1568977817).
Provider details
- NPI number
- 1568977817
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Smith, Manager(503) 234-7870
- License
- D10629 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2525 Ne Broadway St Ste 200
Portland, OR 97232-3527
Phone: (503) 234-7870
Street-level locationGet directions
Mailing address
2525 Ne Broadway St Ste 200
Portland, OR 97232-3527
Other names (DBA / former)
- Former legal business name
- Ne Dental Associates
Registry dates
- Enumerated
- 2017-12-08
- Last updated
- 2017-12-08
Frequently asked questions
- What is Roots Dental Broadway LLC's NPI number?
- Roots Dental Broadway LLC's National Provider Identifier (NPI) is 1568977817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roots Dental Broadway LLC?
- Roots Dental Broadway LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Roots Dental Broadway LLC located?
- Roots Dental Broadway LLC's practice location on file with NPPES is 2525 Ne Broadway St Ste 200, Portland, OR 97232-3527.
- What is Roots Dental Broadway LLC's phone number?
- The practice phone number listed in the NPPES registry for Roots Dental Broadway LLC is (503) 234-7870.
- Who is the authorized official for Roots Dental Broadway LLC?
- The authorized official listed on Roots Dental Broadway LLC's NPPES record is Ryan Smith, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roots Dental Broadway LLC's NPI active?
- Yes — Roots Dental Broadway LLC's NPI (1568977817) is active in the NPPES registry as of the last update on 2017-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.