DR. LANDIS KWONG DMD
NPI 1285262311
Dentist in Portland, OR

Q: What is Landis Kwong's NPI number?

The NPI number for Landis Kwong is 1285262311. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Q: What is Landis Kwong'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 Landis Kwong was last updated on April 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.

Active since April 01, 2020PECOS Enrolled

13255 SE STARK ST, PORTLAND, OR 97233(855) 433-6825 Get Directions Write a Review

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

Record update history: Apr 2, 2024, Jun 22, 2023, May 31, 2023 and 4 more (7 updates tracked since 2020).

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About Dr. Landis Kwong Dmd NPPES

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

DR. LANDIS KWONG DMD (NPI 1285262311) is an individual dentist in Portland, Oregon, licensed in Oregon (D11358) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285262311

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. LANDIS KWONGCredential: DMD

Location Address13255 SE STARK STPortland, OR 97233-1548

Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (855) 433-6825

Phone(855) 433-6825

Sole ProprietorNo

Enumeration DateApril 1, 2020

Last NPPES UpdateApril 2, 20247 updates tracked since enumeration

NPPES CertifiedApril 2, 2024

✔ NPI 1285262311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D11358

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DE61172259 (WA)

13255 SE STARK ST, Portland, OR 97233

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Other Identifiers 1

Medicaid2172382WA

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 ›

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. Landis Kwong 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 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 14

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

DR. BRIAN SIEU LIEU DMD

Dentist (General Practice)