DR. AUSTIN PHOENIX D.M.D., M.S.D.
NPI 1538349774
Dentist - Orthodontics and Dentofacial Orthopedics in Gresham, OR

Active since November 05, 2007
443 NW BURNSIDE RD, GRESHAM, OR 97030(503) 492-8487 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Austin Phoenix D.m.d., M.s.d. NPPES

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

DR. AUSTIN PHOENIX D.M.D., M.S.D. (NPI 1538349774) is an individual orthodontics and dentofacial orthopedics provider in Gresham, Oregon, licensed in Oregon (D9012) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1538349774
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. AUSTIN PHOENIXCredential: D.M.D., M.S.D.
Location Address443 NW BURNSIDE RDGresham, OR 97030-3714
Mailing Address443 Nw Burnside RdGresham, OR 97030-3714
Sole ProprietorNo
Enumeration DateNovember 5, 2007
NPI 1538349774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in OR · D9012
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
443 NW BURNSIDE RD, Gresham, OR 97030

Accepted 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.

Dental Hygienist
443 NW BURNSIDE RD
GRESHAM, OR 97030
Dentist (Orthodontics and Dentofacial Orthopedics)
443 NW BURNSIDE RD
GRESHAM, OR 97030
Dentist (General Practice)
443 NW BURNSIDE RD
GRESHAM, OR 97030

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 Austin Phoenix's NPI number?

The NPI number for Austin Phoenix is 1538349774. It was assigned to this individual provider in the NPPES registry on November 5, 2007.

Where is Austin Phoenix located?

Austin Phoenix practices at 443 NW Burnside Rd, Gresham, OR 97030. The listed phone number is (503) 492-8487.

What is Austin Phoenix's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Austin Phoenix accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Austin Phoenix 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 Austin Phoenix was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.