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DR. TIFFANY MICHELLE GOLDWYN DMD
NPI 1396835450
Dentist - General Practice in Portland, OR

Active since October 12, 2006PECOS Enrolled
1616 SW SUNSET BLVD, SUITE B, PORTLAND, OR 97239(503) 244-8112 Get Directions Write a Review

NPPES record last updated: April 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tiffany Michelle Goldwyn Dmd NPPES

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

DR. TIFFANY MICHELLE GOLDWYN DMD (NPI 1396835450) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D8145) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396835450
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TIFFANY MICHELLE GOLDWYNCredential: DMD
Location Address1616 SW SUNSET BLVD, SUITE BPortland, OR 97239-2641
Mailing Address1616 Sw Sunset Blvd, Ste BPortland, OR 97239-2641 · (503) 421-3040
Phone(503) 244-8112
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateApril 29, 2016
✔ NPI 1396835450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D8145
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.
Also ListedDentistTaxonomy 122300000X · License D8145 (OR)
1616 SW SUNSET BLVD, Portland, OR 97239
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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. Tiffany Michelle Goldwyn 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 97239 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 6

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

MELISSA M. BEADNELL D.M.D. P.C.
Clinic/Center (Dental)
1616 SW SUNSET BLVD, SUITE A
PORTLAND, OR 97239
Multnomah County (503) 244-4837
MARY METHERED DAVIS L.AC., L.M.T.
Massage Therapist
1616 SW SUNSET BLVD, SUITE E
PORTLAND, OR 97239
Multnomah County (503) 544-8447
DR. KIMBERLY E HANDICK DDS MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
1616 SW SUNSET BLVD, SUITE C
PORTLAND, OR 97239
Multnomah County (503) 246-6789
ACORN HEALING ARTS, LLC
Clinic/Center (Health Service)
1616 SW SUNSET BLVD, SUITE E
PORTLAND, OR 97239
Multnomah County (503) 245-1459
DR. MELISSA MARIE BEADNELL D.M.D.
Dentist (General Practice)
1616 SW SUNSET BLVD, SUITE A
PORTLAND, OR 97239
Multnomah County (503) 244-4837
DR. HOWARD R. JARVIS DMD
Dentist (General Practice)
1616 SW SUNSET BLVD, SUITE B
PORTLAND, OR 97239
Multnomah County (503) 244-8112

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 Tiffany Goldwyn's NPI number?

The NPI number for Tiffany Goldwyn is 1396835450. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Tiffany Goldwyn located?

Tiffany Goldwyn practices at 1616 SW Sunset Blvd Suite B, Portland, OR 97239. The listed phone number is (503) 244-8112.

What is Tiffany Goldwyn's specialty?

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

Is Tiffany Goldwyn enrolled in Medicare?

Yes. Tiffany Goldwyn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffany Goldwyn was last updated on April 29, 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.