DR. GIDEON PRASANTH KODALI DMD
NPI 1194403485
Dentist in Portland, OR

Q: What is Gideon Prasanth Kodali's NPI number?

The NPI number for Gideon Prasanth Kodali is 1194403485. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Q: What is Gideon Prasanth Kodali's specialty?

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

Active since July 07, 2023

15715 NW CENTRAL DR STE 7, PORTLAND, OR 97229(503) 610-4038 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Gideon Prasanth Kodali Dmd NPPES

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

DR. GIDEON PRASANTH KODALI DMD (NPI 1194403485) is an individual dentist in Portland, Oregon, licensed in Oregon (D11813) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1194403485

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. GIDEON PRASANTH KODALICredential: DMD

Location Address15715 NW CENTRAL DR STE 7Portland, OR 97229-1267

Mailing Address6334 Se Imagine WayHillsboro, OR 97123-5059 · (270) 363-5624

Phone(503) 610-4038

Sole ProprietorNo

Enumeration DateJuly 7, 2023

NPPES CertifiedJuly 7, 2023

✔ NPI 1194403485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D11813

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.

15715 NW CENTRAL DR STE 7, Portland, OR 97229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

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

TD BETHANY GPS LLC

Dentist (General Practice)

15715 NW CENTRAL DR STE 7
PORTLAND, OR 97229

Washington County (503) 336-3373

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 Gideon Prasanth Kodali's NPI number?

The NPI number for Gideon Prasanth Kodali is 1194403485. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Where is Gideon Prasanth Kodali located?

Gideon Prasanth Kodali practices at 15715 NW Central Dr Ste 7, Portland, OR 97229. The listed phone number is (503) 610-4038.

What is Gideon Prasanth Kodali's specialty?

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

What insurance does Gideon Prasanth Kodali accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 8 other insurers list Gideon Prasanth Kodali 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 Gideon Prasanth Kodali was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.