DR. AZMA AHMED DDS
NPI 1417341983
Dentist in Portland, OR

Q: What is Azma Ahmed's NPI number?

The NPI number for Azma Ahmed is 1417341983. It was assigned to this individual provider in the NPPES registry on March 23, 2015.

Q: What is Azma Ahmed'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 Azma Ahmed was last updated on November 17, 2020. 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.

Active since March 23, 2015PECOS 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: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2020, Jan 21, 2020, Nov 27, 2019 and 2 more (5 updates tracked since 2018).

On this page

About Dr. Azma Ahmed Dds NPPES

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

DR. AZMA AHMED DDS (NPI 1417341983) is an individual dentist in Portland, Oregon, licensed in Oregon (D10191) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417341983

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. AZMA AHMEDCredential: DDS

Location Address12750 SE STARK ST BLDG EPortland, OR 97233-1539

Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235

Phone(971) 347-3009

Fax(971) 256-3277

Sole ProprietorNo

Enumeration DateMarch 23, 2015

Last NPPES UpdateNovember 17, 20205 updates tracked since enumeration

NPPES CertifiedNovember 17, 2020

✔ NPI 1417341983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in OR · D10191✔ Licensed in WA · DE60540896✔ Licensed in TX · 33934

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.

12750 SE STARK ST BLDG E, Portland, OR 97233

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Other Identifiers 2

Medicaid500696873OR

Medicaid2073790WA

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. Azma Ahmed 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 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