Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MIKHAIL BONDAREW DDS
NPI 1124530043
Dentist in Portland, OR

Q: What is Mikhail Bondarew's NPI number?

The NPI number for Mikhail Bondarew is 1124530043. It was assigned to this individual provider in the NPPES registry on November 1, 2017.

Q: What is Mikhail Bondarew's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mikhail Bondarew was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.

Active since November 01, 2017PECOS Enrolled

18633 SE STARK ST STE 401, PORTLAND, OR 97233(503) 489-1760 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 27, 2026, Aug 20, 2018, Nov 1, 2017 (3 updates tracked since 2017).

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About Dr. Mikhail Bondarew Dds NPPES

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

DR. MIKHAIL BONDAREW DDS (NPI 1124530043) is an individual dentist in Portland, Oregon, licensed in Oregon (D10788) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124530043

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MIKHAIL BONDAREWCredential: DDS

Location Address18633 SE STARK ST STE 401Portland, OR 97233-5468

Mailing Address18633 Se Stark St Ste 401Portland, OR 97233-5468 · (503) 489-1760

Phone(503) 489-1760

Sole ProprietorNo

Enumeration DateNovember 1, 2017

Last NPPES UpdateAugust 27, 20263 updates tracked since enumeration

NPPES CertifiedAugust 27, 2026

✔ NPI 1124530043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D10788

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.

18633 SE STARK ST STE 401, Portland, OR 97233

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Mikhail Bondarew 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 97233 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 10

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

DR. MERIT ROSHDY DMD

Dentist (General Practice)