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IMPACT SLEEP DENTISTRY
NPI 1215683503
Dentist in Beaverton, OR

Active since February 24, 2022
3415 SW 187TH AVE, BEAVERTON, OR 97003(503) 649-3101 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 29, 2022, Feb 24, 2022 (2 updates tracked since 2022).

About Impact Sleep Dentistry NPPES

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

IMPACT SLEEP DENTISTRY (NPI 1215683503) is a healthcare organization registered as a dentist in Beaverton, Oregon and active in the NPI registry since February 2022. The organization lists Melika Kashkouli, Owner, as its authorized official.

NPPES Registry Identity

NPI1215683503
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameIMPACT SLEEP DENTISTRY
Location Address3415 SW 187TH AVEBeaverton, OR 97003-3106
Mailing Address17455 Sw Hoodoo CtBeaverton, OR 97007-7702 · (503) 679-5072
Phone(503) 649-3101
Organization SubpartNo
Authorized OfficialMelika KashkouliOwner · (503) 679-5072
Enumeration DateFebruary 24, 2022
Last NPPES UpdateApril 29, 20222 updates tracked since enumeration
NPPES CertifiedApril 29, 2022
✔ NPI 1215683503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
3415 SW 187TH AVE, Beaverton, OR 97003
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. MELIKA KASHKOULI DMD
Dentist (General Practice)
3415 SW 187TH AVE
BEAVERTON, OR 97003
Washington County (503) 649-3101

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 Impact Sleep Dentistry's NPI number?

The NPI number for Impact Sleep Dentistry is 1215683503. It was assigned to this organization in the NPPES registry on February 24, 2022.

Where is Impact Sleep Dentistry located?

Impact Sleep Dentistry is located at 3415 SW 187th Ave, Beaverton, OR 97003. The listed phone number is (503) 649-3101.

What is Impact Sleep Dentistry's specialty?

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

When was this NPI record last updated?

The NPPES record for Impact Sleep Dentistry was last updated on April 29, 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.