KODY JAMES CROOK DMD
NPI 1114651460
Dentist - General Practice in Portland, OR

Active since July 13, 2022
5071 NE 122ND AVE, PORTLAND, OR 97230(503) 255-5700 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kody James Crook Dmd NPPES

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

KODY JAMES CROOK DMD (NPI 1114651460) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D11634) and active in the NPI registry since July 2022. He maintains a secondary practice location in Sandy.

NPPES Registry Identity

NPI1114651460
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKODY JAMES CROOKCredential: DMD
Location Address5071 NE 122ND AVEPortland, OR 97230-1003
Mailing Address5809 Se 29th TerGresham, OR 97080-8608
Sole ProprietorNo
Enumeration DateJuly 13, 2022
NPPES CertifiedJuly 13, 2022
NPI 1114651460 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 · D11634
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.
5071 NE 122ND AVE, Portland, OR 97230

Secondary Practice Location 1

Location 136840 Industrial WaySandy, OR 97055-9254 · Phone (503) 668-1300

Accepted 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.

Dental Hygienist
5071 NE 122ND AVE
PORTLAND, OR 97230
Dentist (General Practice)
5071 NE 122ND AVE
PORTLAND, OR 97230
Dentist (General Practice)
5071 NE 122ND AVE
PORTLAND, OR 97230

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 Kody Crook's NPI number?

The NPI number for Kody Crook is 1114651460. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Kody Crook located?

Kody Crook practices at 5071 NE 122nd Ave, Portland, OR 97230. The listed phone number is (503) 255-5700.

What is Kody Crook's specialty?

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

What insurance does Kody Crook accept?

Health plans from BEST Life, BridgeSpan Health Company, Dominion National, HRI Dental & Vision and Humana and 4 other insurers list Kody Crook 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 Kody Crook was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.