Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIRAN MISTRY D.D.S.
NPI 1437445103
Dentist - General Practice in Portland, OR

Active since June 21, 2011PECOS Enrolled
4414 NE FREMONT ST, PORTLAND, OR 97213(503) 288-7481(503) 284-3955 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kiran Mistry D.d.s. NPPES

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

KIRAN MISTRY D.D.S. (NPI 1437445103) is an individual general practice provider in Portland, Oregon, licensed in California (61351) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437445103
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKIRAN MISTRYCredential: D.D.S.
Location Address4414 NE FREMONT STPortland, OR 97213-1154
Mailing Address4414 Ne Fremont StPortland, OR 97213-1154 · (503) 288-7481 · Fax (503) 284-3955
Fax(503) 284-3955
Sole ProprietorYes
Enumeration DateJune 21, 2011
Last NPPES UpdateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
NPI 1437445103 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 CA · 61351
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 DR60225674 (WA), 10517 (OR)
4414 NE FREMONT ST, Portland, OR 97213

Accepted 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)

Kiran Mistry D.d.s. 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 97213 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 2

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

Dentist (General Practice)
4414 NE FREMONT ST
PORTLAND, OR 97213
Dentist (General Practice)
4414 NE FREMONT ST
PORTLAND, OR 97213

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 Kiran Mistry's NPI number?

The NPI number for Kiran Mistry is 1437445103. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Kiran Mistry located?

Kiran Mistry practices at 4414 NE Fremont St, Portland, OR 97213. The listed phone number is (503) 288-7481.

What is Kiran Mistry's specialty?

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

Is Kiran Mistry enrolled in Medicare?

Yes. Kiran Mistry is registered in the Medicare PECOS enrollment system.

What insurance does Kiran Mistry accept?

Health plans from Humana list Kiran Mistry 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 Kiran Mistry was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.