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ANDREW SYPE DMD, PC
NPI 1114553468
Clinic/Center - Dental in Portland, OR

Active since March 19, 2020
12758 SE STARK ST STE D, PORTLAND, OR 97233(503) 760-3214(503) 719-5343 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrew Sype Dmd, Pc NPPES

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

ANDREW SYPE DMD, PC (NPI 1114553468), doing business as Plaza 125 Dental, is a healthcare organization registered as a dental in Portland, Oregon and active in the NPI registry since March 2020. The organization lists Leanne Sype, Administration, as its authorized official.

NPPES Registry Identity

NPI1114553468
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameANDREW SYPE DMD, PC
Location Address12758 SE STARK ST STE DPortland, OR 97233-1539
Mailing Address12758 Se Stark St Ste DPortland, OR 97233-1539 · (503) 760-3214
Phone(503) 760-3214
Fax(503) 719-5343
Organization SubpartNo
Authorized OfficialLeanne SypeAdministration · (503) 544-7091
Enumeration DateMarch 19, 2020
NPPES CertifiedMarch 19, 2020
✔ NPI 1114553468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
12758 SE STARK ST STE D, Portland, OR 97233
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Other Names 1

Doing Business AsPlaza 125 Dental

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental Plan of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Sype Dmd, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Andrew Sype Dmd, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrew Sype, D.M.D.
Dentist
NPI 1306013800
12758 SE STARK ST STE D
Portland, OR 97233
(503) 760-3214
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Andrew Sype Dmd, PC's NPI number?

The NPI number for Andrew Sype Dmd, PC is 1114553468. It was assigned to this organization in the NPPES registry on March 19, 2020. The provider is doing business as Plaza 125 Dental.

Where is Andrew Sype Dmd, PC located?

Andrew Sype Dmd, PC is located at 12758 SE Stark St Ste D, Portland, OR 97233. The listed phone number is (503) 760-3214.

What is Andrew Sype Dmd, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Is Andrew Sype Dmd, PC enrolled in Medicare?

Yes. Andrew Sype Dmd, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Andrew Sype Dmd, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Andrew Sype Dmd, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Andrew Sype Dmd, PC accept?

Health plans from Delta Dental Plan of Oregon list Andrew Sype Dmd, PC 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 Andrew Sype Dmd, PC was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.