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DR. MICHAEL STEVEN BLINDHEIM DMD
NPI 1043634579
Dentist - General Practice in Portland, OR

Active since February 04, 2014PECOS Enrolled
17130 SW UPPER BOONES FERRY RD, PORTLAND, OR 97224(503) 639-6620 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Steven Blindheim Dmd NPPES

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

DR. MICHAEL STEVEN BLINDHEIM DMD (NPI 1043634579) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D9753) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043634579
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL STEVEN BLINDHEIMCredential: DMD
Location Address17130 SW UPPER BOONES FERRY RDPortland, OR 97224-7004
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (503) 952-2125
Phone(503) 639-6620
Sole ProprietorYes
Enumeration DateFebruary 4, 2014
Last NPPES UpdateDecember 1, 2025
NPPES CertifiedDecember 1, 2025
✔ NPI 1043634579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D9753
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

17130 SW UPPER BOONES FERRY RD, Portland, OR 97224
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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. Michael Steven Blindheim 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 97224 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 5

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

DR. THOMAS DAVID CARDWELL DMD
Dentist
17130 SW UPPER BOONES FERRY RD
PORTLAND, OR 97224
Washington County (855) 433-6825
DR. ERICKA SMITH DMD
Dentist
17130 SW UPPER BOONES FERRY RD
PORTLAND, OR 97224
Washington County (855) 433-6825
DR. TREVOR DANIEL WOOLF DDS
Dentist (General Practice)
17130 SW UPPER BOONES FERRY RD
PORTLAND, OR 97224
Washington County (503) 639-6620
DR. MELANIE JANELLE GRANT DMD
Dentist
17130 SW UPPER BOONES FERRY RD
PORTLAND, OR 97224
Washington County (503) 952-2100
DR. TRISTAN VITTORIO MARTIN DMD
Dentist
17130 SW UPPER BOONES FERRY RD
PORTLAND, OR 97224
Washington County (503) 639-6620

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 Michael Blindheim's NPI number?

The NPI number for Michael Blindheim is 1043634579. It was assigned to this individual provider in the NPPES registry on February 4, 2014.

Where is Michael Blindheim located?

Michael Blindheim practices at 17130 SW Upper Boones Ferry Rd, Portland, OR 97224. The listed phone number is (503) 639-6620.

What is Michael Blindheim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Michael Blindheim enrolled in Medicare?

Yes. Michael Blindheim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Blindheim was last updated on December 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.