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PERIOPDX
NPI 1275303109
Dentist - Periodontics in Portland, OR

Active since January 02, 2024
1130 SE 122ND AVE, PORTLAND, OR 97233(503) 252-5515(503) 255-1625 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Periopdx NPPES

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

PERIOPDX (NPI 1275303109) is a healthcare organization registered as a periodontics in Portland, Oregon and active in the NPI registry since January 2024. The organization lists Duy Anh Tran, Owner, as its authorized official.

NPPES Registry Identity

NPI1275303109
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIOPDX
Location Address1130 SE 122ND AVEPortland, OR 97233-1112
Mailing Address14780 Sw Osprey Dr Ste 240aBeaverton, OR 97007-8424 · (503) 747-0095 · Fax (503) 747-0027
Phone(503) 252-5515
Fax(503) 255-1625
Organization SubpartNo
Authorized OfficialDuy Anh TranOwner · (503) 380-5872
Enumeration DateJanuary 2, 2024
NPPES CertifiedJanuary 2, 2024
✔ NPI 1275303109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1130 SE 122ND AVE, Portland, OR 97233
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. JOHN R CHIRGWIN DMD
Dentist (Periodontics)
1130 SE 122ND AVE
PORTLAND, OR 97233
Multnomah County (503) 252-5515
CHIRGWIN & HERRIGES, LLC
Dentist (Periodontics)
1130 SE 122ND AVE
PORTLAND, OR 97233
Multnomah County (503) 252-5515
BROCK D. HERRIGES, DMD, LLC
Dentist (Periodontics)
1130 SE 122ND AVE
PORTLAND, OR 97233
Multnomah County (971) 221-6744
DR. BROCK D HERRIGES DMD
Dentist (Periodontics)
1130 SE 122ND AVE
PORTLAND, OR 97233
Multnomah County (503) 252-5515

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 Periopdx's NPI number?

The NPI number for Periopdx is 1275303109. It was assigned to this organization in the NPPES registry on January 2, 2024.

Where is Periopdx located?

Periopdx is located at 1130 SE 122nd Ave, Portland, OR 97233. The listed phone number is (503) 252-5515.

What is Periopdx's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periopdx was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.