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DR. NICOLE THERESE KEMENA DDS
NPI 1063762151
Dentist in Gresham, OR

Active since September 15, 2012PECOS Enrolled
600 NE 8TH ST STE 210, GRESHAM, OR 97030(503) 988-4900 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nicole Therese Kemena Dds NPPES

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

DR. NICOLE THERESE KEMENA DDS (NPI 1063762151) is an individual dentist in Gresham, Oregon, licensed in Oregon (D10139) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063762151
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. NICOLE THERESE KEMENACredential: DDS
Location Address600 NE 8TH ST STE 210Gresham, OR 97030-7341
Mailing Address600 Ne 8th St Ste 210Gresham, OR 97030-7341 · (503) 988-4900
Phone(503) 988-4900
Sole ProprietorNo
Enumeration DateSeptember 15, 2012
Last NPPES UpdateSeptember 1, 2016
✔ NPI 1063762151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in OR · D10139✔ Licensed in CA · 61914
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.
600 NE 8TH ST STE 210, Gresham, OR 97030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.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. Nicole Therese Kemena Dds 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 97030 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 3

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

LESLIE FABIOLA MORENO
Dental Assistant
600 NE 8TH ST STE 210
GRESHAM, OR 97030
Multnomah County (503) 988-4900
DR. DMITRI VLADISLAVOVICH ALEKSANDROV DMD
Dentist (General Practice)
600 NE 8TH ST STE 210
GRESHAM, OR 97030
Multnomah County (503) 988-4900
MRS. ELIZABETH CRUZ-CRUZ EFDA
Dental Assistant
600 NE 8TH ST STE 210
GRESHAM, OR 97030
Multnomah County (503) 988-4900

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 Nicole Kemena's NPI number?

The NPI number for Nicole Kemena is 1063762151. It was assigned to this individual provider in the NPPES registry on September 15, 2012.

Where is Nicole Kemena located?

Nicole Kemena practices at 600 NE 8th St Ste 210, Gresham, OR 97030. The listed phone number is (503) 988-4900.

What is Nicole Kemena's specialty?

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

Is Nicole Kemena enrolled in Medicare?

Yes. Nicole Kemena is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Kemena accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Nicole Kemena 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 Nicole Kemena was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.