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DR. PRIYA THAKKER DMD
NPI 1366079824
Dentist - General Practice in Portland, OR

Active since March 25, 2020PECOS Enrolled
12750 SE STARK ST BLDG E, PORTLAND, OR 97233(971) 347-3009(971) 256-3277 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2025, Nov 14, 2023, Oct 26, 2023 and 3 more (6 updates tracked since 2020).

About Dr. Priya Thakker Dmd NPPES

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

DR. PRIYA THAKKER DMD (NPI 1366079824) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D11388) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366079824
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PRIYA THAKKERCredential: DMD
Location Address12750 SE STARK ST BLDG EPortland, OR 97233-1539
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (971) 260-0355
Phone(971) 347-3009
Fax(971) 256-3277
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateSeptember 16, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1366079824 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 · D11388
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.
12750 SE STARK ST BLDG E, Portland, OR 97233
Open in Google Maps ↗

Other Identifiers 1

Medicaid500788548OR

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Priya Thakker 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.

Medicare Billing Reassignment

Medicare enrollment records show Priya Thakker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Native American Rehabilitation Assoc Inc
Same address
Federally Qualified Health Center (FQHC)
12750 SE STARK ST BLDG E
Portland, OR 97233
  • Reassigned Medicare billing, Oregon enrollment
  • 39 clinicians in this Medicare group
NPI 1174979934 (971) 347-3009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 20

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

SHAWNA LEBECHUCK-FISK DENTAL ASSISTANT
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
ACOSIA SIREWOP-LOPEZ DA
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
RACHEL J MORSETTE DA
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
JOURDAN L BURKLUND RDH
Dental Hygienist
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
LANAE D WASHBURN RDH
Dental Hygienist
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
PETER CLAIR ROBINSON WIDMER
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
NATIVE AMERICAN REHABILITATION ASSOC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
DR. HUONG LINDA TRUONG DMD
Dentist
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009

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 Priya Thakker's NPI number?

The NPI number for Priya Thakker is 1366079824. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Priya Thakker located?

Priya Thakker practices at 12750 SE Stark St Bldg E, Portland, OR 97233. The listed phone number is (971) 347-3009.

What is Priya Thakker's specialty?

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

Is Priya Thakker enrolled in Medicare?

Yes. Priya Thakker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Priya Thakker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Thakker reassigns Medicare benefits to Native American Rehabilitation Assoc Inc (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Priya Thakker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priya Thakker 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 6 other insurers list Priya Thakker 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 Priya Thakker was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.