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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KANISA CHANTAROTHORN DDS
NPI 1316845316
Dentist - Prosthodontics in Portland, OR

Active since October 29, 2026
2730 S MOODY AVE FL 12, PORTLAND, OR 97201(503) 494-4316 Get Directions Write a Review

NPPES record added: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kanisa Chantarothorn Dds NPPES

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

KANISA CHANTAROTHORN DDS (NPI 1316845316) is an individual prosthodontics provider in Portland, Oregon, licensed in Oregon (DF0058) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1316845316
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameKANISA CHANTAROTHORNCredential: DDS
Location Address2730 S MOODY AVE FL 12Portland, OR 97201-5042
Mailing Address3820 S River Pkwy Apt 1414Portland, OR 97239-4847
Phone(503) 494-4316
Sole ProprietorNo
Enumeration DateOctober 29, 2026
NPPES CertifiedOctober 29, 2026
✔ NPI 1316845316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in OR · DF0058
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
2730 S MOODY AVE FL 12, Portland, OR 97201
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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 Kanisa Chantarothorn's NPI number?

The NPI number for Kanisa Chantarothorn is 1316845316. It was assigned to this individual provider in the NPPES registry on October 29, 2026.

Where is Kanisa Chantarothorn located?

Kanisa Chantarothorn practices at 2730 S Moody Ave Fl 12, Portland, OR 97201. The listed phone number is (503) 494-4316.

What is Kanisa Chantarothorn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Kanisa Chantarothorn was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.