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DR. KRISTAN DYAN RODRIGUEZ D.D.S.
NPI 1366966533
Dentist - General Practice in Portland, OR

Active since July 31, 2017
7615 SW CAPITOL HWY, PORTLAND, OR 97219(503) 244-3712 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2021, Jul 31, 2017 (2 updates tracked since 2017).

About Dr. Kristan Dyan Rodriguez D.d.s. NPPES

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

DR. KRISTAN DYAN RODRIGUEZ D.D.S. (NPI 1366966533) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D11075) and active in the NPI registry since July 2017. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1366966533
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KRISTAN DYAN RODRIGUEZCredential: D.D.S.
Location Address7615 SW CAPITOL HWYPortland, OR 97219-2436
Mailing Address31513 Sw Orchard DrWilsonville, OR 97070-5500 · (971) 280-0498
Phone(503) 244-3712
Sole ProprietorNo
Enumeration DateJuly 31, 2017
Last NPPES UpdateAugust 16, 20212 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
✔ NPI 1366966533 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 · D11075
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.
7615 SW CAPITOL HWY, Portland, OR 97219
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Secondary Practice Location 1

Location 1833 SW 11th Ave Ste 300Portland, OR 97205-2117 · Phone (503) 224-7815

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 ›

Other Providers at the Same Location NPPES 3

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

MATTIE MARIE MORRIS RDH, BSDH
Dental Hygienist
7615 SW CAPITOL HWY
PORTLAND, OR 97219
Multnomah County (503) 244-3712
MS. MACKENZIE E DOUGLAS D.M.D.
Dentist (General Practice)
7615 SW CAPITOL HWY
PORTLAND, OR 97219
Multnomah County (503) 244-3712
BETH M SHEPPARD RDH, BSDH
Dental Hygienist
7615 SW CAPITOL HWY
PORTLAND, OR 97219
Multnomah County (503) 244-3712

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 Kristan Rodriguez's NPI number?

The NPI number for Kristan Rodriguez is 1366966533. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Where is Kristan Rodriguez located?

Kristan Rodriguez practices at 7615 SW Capitol Hwy, Portland, OR 97219. The listed phone number is (503) 244-3712.

What is Kristan Rodriguez's specialty?

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

What insurance does Kristan Rodriguez 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 Dominion National and 2 other insurers list Kristan Rodriguez 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 Kristan Rodriguez was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.