DR. JEREMY E ARCHIBALD DDS
NPI 1336352368
Dentist in Gresham, OR

Q: What is Jeremy Archibald's NPI number?

The NPI number for Jeremy Archibald is 1336352368. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Q: What is Jeremy Archibald'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 Jeremy Archibald was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 May 07, 2007PECOS Enrolled

742 NE DIVISION ST STE 101, GRESHAM, OR 97030(503) 665-7017(503) 665-5135 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jeremy E Archibald Dds NPPES

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

DR. JEREMY E ARCHIBALD DDS (NPI 1336352368) is an individual dentist in Gresham, Oregon, licensed in Oregon (D8266) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336352368

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JEREMY E ARCHIBALDCredential: DDS

Location Address742 NE DIVISION ST STE 101Gresham, OR 97030-3979

Mailing Address742 Ne Division St Ste 101Gresham, OR 97030-3979 · (503) 665-7017 · Fax (503) 665-5135

Phone(503) 665-7017

Fax(503) 665-5135

Sole ProprietorYes

Enumeration DateMay 7, 2007

Last NPPES UpdateMarch 31, 2016

✔ NPI 1336352368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D8266

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.

742 NE DIVISION ST STE 101, Gresham, OR 97030

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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. Jeremy E Archibald Dds 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 97030 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.

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 Jeremy Archibald's NPI number?

The NPI number for Jeremy Archibald is 1336352368. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Jeremy Archibald located?

Jeremy Archibald practices at 742 NE Division St Ste 101, Gresham, OR 97030. The listed phone number is (503) 665-7017.

What is Jeremy Archibald's specialty?

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

Is Jeremy Archibald enrolled in Medicare?

Yes. Jeremy Archibald is registered in the Medicare PECOS enrollment system.

What insurance does Jeremy Archibald accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 7 other insurers list Jeremy Archibald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremy Archibald was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.