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DR. THOMAS THANH TIEU DMD
NPI 1104901040
Dentist - General Practice in Portland, OR

Active since October 26, 2006PECOS Enrolled
3620 NE 122ND AVE, PORTLAND, OR 97230(503) 254-5575(503) 254-2161 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas Thanh Tieu Dmd NPPES

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

DR. THOMAS THANH TIEU DMD (NPI 1104901040) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D7324) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104901040
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS THANH TIEUCredential: DMD
Location Address3620 NE 122ND AVEPortland, OR 97230-1365
Mailing Address3620 Ne 122nd AvePortland, OR 97230-1365 · (503) 254-5575 · Fax (503) 254-2161
Phone(503) 254-5575
Fax(503) 254-2161
Sole ProprietorYes
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104901040 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 · D7324
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.
3620 NE 122ND AVE, Portland, OR 97230
Open in Google Maps ↗

Other Identifiers 1

OtherD7324OR · Oregon State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana 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. Thomas Thanh Tieu 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 97230 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 6

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

CHEN'S ACUPUNCTURE CENTER, P.C.
Acupuncturist
3620 NE 122ND AVE, SUITE D
PORTLAND, OR 97230
Multnomah County (503) 255-2618
MR. LEONARDO TONY PORRECO PT
Physical Therapist (Orthopedic)
3620 NE 122ND AVE, SUITE C
PORTLAND, OR 97230
Multnomah County (503) 252-4100
PARKROSE FAMILY DENTISTRY, P.C.
Dentist
3620 NE 122ND AVE
PORTLAND, OR 97230
Multnomah County (503) 254-5575
MR. FANG KUN CHEN LAC
Massage Therapist
3620 NE 122ND AVE, SUITE D
PORTLAND, OR 97230
Multnomah County (503) 255-2618
OREGON PHYSICAL THERAPY & SPORTS
Clinic/Center (Physical Therapy)
3620 NE 122ND AVE, SUITE C
PORTLAND, OR 97230
Multnomah County (503) 252-4100
THE OREGON PHYSICAL THERAPY & SPORTS MEDICINE CENTER
Physical Therapist
3620 NE 122ND AVE, SUITE C
PORTLAND, OR 97230
Multnomah County (503) 252-4100

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 Thomas Tieu's NPI number?

The NPI number for Thomas Tieu is 1104901040. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Thomas Tieu located?

Thomas Tieu practices at 3620 NE 122nd Ave, Portland, OR 97230. The listed phone number is (503) 254-5575.

What is Thomas Tieu's specialty?

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

Is Thomas Tieu enrolled in Medicare?

Yes. Thomas Tieu is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Tieu accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Thomas Tieu 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 Thomas Tieu was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.