DR. CRYSTAL DEWI ROSLINA KRISWANDI DMD - NPI 1285788273

Q: What is Crystal Kriswandi's NPI number?

The NPI number for Crystal Kriswandi is 1285788273. It was assigned to this individual provider in the NPPES registry on January 23, 2007. The provider is also known as Dr. Crystal Dr Kriswandi Dmd.

Q: What is Crystal Kriswandi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Kriswandi was last updated on November 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Crystal Dewi Roslina Kriswandi Dmd NPPES

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

DR. CRYSTAL DEWI ROSLINA KRISWANDI DMD (NPI 1285788273) is an individual general practice provider in Tigard, Oregon, licensed in Oregon (D7621) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285788273

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CRYSTAL DEWI ROSLINA KRISWANDICredential: DMD

Location Address7095 SW GONZAGA STTigard, OR 97223-8309

Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (503) 952-2164 · Fax (503) 526-4418

Phone(855) 433-6825

Sole ProprietorNo

Enumeration DateJanuary 23, 2007

Last NPPES UpdateNovember 29, 2023

NPPES CertifiedNovember 29, 2023

✔ NPI 1285788273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D7621

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

7095 SW GONZAGA ST, Tigard, OR 97223

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Other Names 1

Professional Name (2)Dr. Crystal Dr Kriswandi Dmd

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. Crystal Dewi Roslina Kriswandi 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 97223 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 11

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

DR. JEFFERY EDWIN REDDICKS DMD

Dentist (Oral and Maxillofacial Surgery)