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DR. NICHOLAS RYAN MELLUM DMD
NPI 1053454173
Dentist - General Practice in Portland, OR

Active since February 15, 2007
8910 N KELLOGG ST, PORTLAND, OR 97203(503) 286-4492 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nicholas Ryan Mellum Dmd NPPES

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

DR. NICHOLAS RYAN MELLUM DMD (NPI 1053454173) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D8836) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1053454173
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NICHOLAS RYAN MELLUMCredential: DMD
Location Address8910 N KELLOGG STPortland, OR 97203-3002
Mailing Address8910 N Kellogg StPortland, OR 97203-3002 · (503) 286-4492 · Fax (503) 765-1343
Phone(503) 286-4492
Sole ProprietorNo
Enumeration DateFebruary 15, 2007
Last NPPES UpdateMay 10, 2016
✔ NPI 1053454173 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 · D8836
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.
8910 N KELLOGG ST, Portland, OR 97203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

NICK R. MELLUM DMD PC
Dentist (General Practice)
8910 N KELLOGG ST
PORTLAND, OR 97203
Multnomah County (503) 286-4492
MICHAEL D. MELLUM, DMD PC
Dentist (General Practice)
8910 N KELLOGG ST
PORTLAND, OR 97203
Multnomah County (503) 286-4492
DR. MICHAEL D. MELLUM D.M.D.
Dentist (General Practice)
8910 N KELLOGG ST
PORTLAND, OR 97203
Multnomah County (503) 286-4492

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 Nicholas Mellum's NPI number?

The NPI number for Nicholas Mellum is 1053454173. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Nicholas Mellum located?

Nicholas Mellum practices at 8910 N Kellogg St, Portland, OR 97203. The listed phone number is (503) 286-4492.

What is Nicholas Mellum's specialty?

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

What insurance does Nicholas Mellum accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Montana and 12 other insurers list Nicholas Mellum 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 Nicholas Mellum was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.