DR. NOOR A KHAKI DMD
NPI 1205237872
Dentist in Oregon City, OR

Active since September 14, 2014PECOS Enrolled
19029 S. BEAVERCREEK RD, OREGON CITY, OR 97045(503) 941-3064 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 17, 2019, Oct 20, 2016 (2 updates tracked since 2016).

About Dr. Noor A Khaki Dmd NPPES

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

DR. NOOR A KHAKI DMD (NPI 1205237872) is an individual dentist in Oregon City, Oregon, licensed in Oregon (D10079) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205237872
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. NOOR A KHAKICredential: DMD
Location Address19029 S. BEAVERCREEK RDOregon City, OR 97045
Mailing Address7600 Se Division StPortland, OR 97206-1058 · (503) 774-3033
Sole ProprietorNo
Enumeration DateSeptember 14, 2014
Last NPPES UpdateSeptember 17, 20192 updates tracked since enumeration
NPI 1205237872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OR · D10079
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.

19029 S. BEAVERCREEK RD, Oregon City, OR 97045

Other Identifiers 1

Medicaid500690740OR

Accepted 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. Noor A Khaki 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 97045 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

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

Dentist
19029 S. BEAVERCREEK RD
OREGON CITY, OR 97045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205237872, enumerated as an "individual" on September 14, 2014.

The provider is located at 19029 S. BEAVERCREEK RD OREGON CITY, OR 97045 and the phone number is (503) 941-3064.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.