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

ROGER KRUPETSKY
NPI 1477322014
Dentist in Portland, OR

Active since December 22, 2023
3280 NE BROADWAY ST, PORTLAND, OR 97232(503) 282-0521 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roger Krupetsky NPPES

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

ROGER KRUPETSKY (NPI 1477322014) is an individual dentist in Portland, Oregon, licensed in Oregon (D12158) and active in the NPI registry since December 2023. He maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1477322014
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameROGER KRUPETSKY
Location Address3280 NE BROADWAY STPortland, OR 97232-1815
Mailing Address3280 Ne Broadway StPortland, OR 97232-1815
Phone(503) 282-0521
Sole ProprietorNo
Enumeration DateDecember 22, 2023
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1477322014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D12158
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3280 NE BROADWAY ST, Portland, OR 97232
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Secondary Practice Location 1

Location 1707 Parnassus AveSan Francisco, CA 94143-2210 · Phone (415) 502-5800

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.

JOHN MICHAEL DURO D.M.D
Dentist
3280 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 282-0521
MICHAEL KHAIRALLAH DDS
Dentist
3280 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 282-0521
GIANG QUYNH THI NGO RDH
Dental Hygienist
3280 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 282-0521

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 Roger Krupetsky's NPI number?

The NPI number for Roger Krupetsky is 1477322014. It was assigned to this individual provider in the NPPES registry on December 22, 2023.

Where is Roger Krupetsky located?

Roger Krupetsky practices at 3280 NE Broadway St, Portland, OR 97232. The listed phone number is (503) 282-0521.

What is Roger Krupetsky's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Roger Krupetsky was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 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.