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DR. SOROUSH TOM AMINI DMD
NPI 1023790920
Dentist in Woodburn, OR

Active since August 01, 2023PECOS Enrolled
1175 MOUNT HOOD AVE, WOODBURN, OR 97071(503) 982-2000 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Soroush Tom Amini Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SOROUSH TOM AMINI DMD (NPI 1023790920) is an individual dentist in Woodburn, Oregon, licensed in Oregon (D11873) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023790920
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SOROUSH TOM AMINICredential: DMD
Location Address1175 MOUNT HOOD AVEWoodburn, OR 97071-9060
Mailing Address1175 Mount Hood AveWoodburn, OR 97071-9060 · (503) 982-2000 · Fax (503) 982-0660
Phone(503) 982-2000
Sole ProprietorNo
Enumeration DateAugust 1, 2023
Last NPPES UpdateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1023790920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D11873
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1175 MOUNT HOOD AVE, Woodburn, OR 97071
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Soroush Tom Amini Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESUS CARRILLO
Physician Assistant
1175 MOUNT HOOD AVE
WOODBURN, OR 97071
Marion County (503) 982-2000
JULIA DIANA LUCERO NCMA
Community Health Worker
1175 MOUNT HOOD AVE
WOODBURN, OR 97071
Marion County (503) 982-0635
ARELY E ACOSTA
Community Health Worker
1175 MOUNT HOOD AVE
WOODBURN, OR 97071
Marion County (509) 225-3396
LISA SCHLEGEL
Nurse Practitioner
1175 MOUNT HOOD AVE
WOODBURN, OR 97071
Marion County (503) 982-2000
KATHERINE HUNTER SMITH RN, BSN
Registered Nurse (Community Health)
1175 MOUNT HOOD AVE
WOODBURN, OR 97071
Marion County (361) 902-1595
VICTOR TRAN
Dentist
1175 MOUNT HOOD AVE
WOODBURN, OR 97071
Marion County (503) 982-2000
DR. SYLVIA WALSH PHARMD
Pharmacist
1175 MOUNT HOOD AVE
WOODBURN, OR 97071
Marion County (503) 982-2000
ANNIKA MICHELE JOHNSON CAMPBELL PSYD
Psychologist
1175 MOUNT HOOD AVE
WOODBURN, OR 97071
Marion County (509) 662-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soroush Amini's NPI number?

The NPI number for Soroush Amini is 1023790920. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Where is Soroush Amini located?

Soroush Amini practices at 1175 Mount Hood Ave, Woodburn, OR 97071. The listed phone number is (503) 982-2000.

What is Soroush Amini's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Soroush Amini enrolled in Medicare?

Yes. Soroush Amini is registered in the Medicare PECOS enrollment system.

What insurance does Soroush Amini accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Soroush Amini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Soroush Amini was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.