FRANSISKUS ANDRIANTO TJIPTOWIDJOJO D.D.S., M.S.
NPI 1578985495
Dentist - Prosthodontics in Happy Valley, OR

Active since January 11, 2014PECOS Enrolled
9300 SE 91ST AVE STE 403, HAPPY VALLEY, OR 97086(503) 653-2299(503) 774-4154 Get Directions Write a Review

NPPES record last updated: July 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 4, 2022, Jan 3, 2022, Aug 18, 2020 and 1 more (4 updates tracked since 2016).

About Fransiskus Andrianto Tjiptowidjojo D.d.s., M.s. NPPES

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

FRANSISKUS ANDRIANTO TJIPTOWIDJOJO D.D.S., M.S. (NPI 1578985495) is an individual prosthodontics provider in Happy Valley, Oregon, licensed in Oregon (D11565) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578985495
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameFRANSISKUS ANDRIANTO TJIPTOWIDJOJOCredential: D.D.S., M.S.
Location Address9300 SE 91ST AVE STE 403Happy Valley, OR 97086-3762
Mailing Address9300 Se 91st Ave Ste 403Happy Valley, OR 97086-3762 · (503) 653-2299 · Fax (503) 774-4154
Fax(503) 774-4154
Sole ProprietorYes
Enumeration DateJanuary 11, 2014
Last NPPES UpdateJuly 4, 20224 updates tracked since enumeration
NPPES CertifiedJuly 3, 2022
NPI 1578985495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses Licensed in OR · D11565 Licensed in MI · 2901021710 Licensed in VA · 0401414234 Licensed in IL · 019.032507
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

9300 SE 91ST AVE STE 403, Happy Valley, OR 97086

Secondary Practice Locations 2

Location 12700 Martin Luther King Jr BlvdDetroit, MI 48208-2576 · Phone (313) 494-6786 · Fax (313) 494-6781
Location 21901 N Roselle Rd Ste 110Schaumburg, IL 60195-3179 · Phone (847) 885-0105 · Fax (847) 885-9624

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)

Fransiskus Andrianto Tjiptowidjojo D.d.s., M.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 97086 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 3

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

Dentist (Prosthodontics)
9300 SE 91ST AVE STE 403
HAPPY VALLEY, OR 97086
Durable Medical Equipment & Medical Supplies (Customized Equipment)
9300 SE 91ST AVE STE 403
HAPPY VALLEY, OR 97086
Dentist (Prosthodontics)
9300 SE 91ST AVE STE 403
HAPPY VALLEY, OR 97086

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 Fransiskus Andrianto Tjiptowidjojo's NPI number?

The NPI number for Fransiskus Andrianto Tjiptowidjojo is 1578985495. It was assigned to this individual provider in the NPPES registry on January 11, 2014.

Where is Fransiskus Andrianto Tjiptowidjojo located?

Fransiskus Andrianto Tjiptowidjojo practices at 9300 SE 91st Ave Ste 403, Happy Valley, OR 97086. The listed phone number is (503) 653-2299.

What is Fransiskus Andrianto Tjiptowidjojo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Fransiskus Andrianto Tjiptowidjojo enrolled in Medicare?

Yes. Fransiskus Andrianto Tjiptowidjojo is registered in the Medicare PECOS enrollment system.

What insurance does Fransiskus Andrianto Tjiptowidjojo accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Moda Health Plan, Inc. list Fransiskus Andrianto Tjiptowidjojo 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 Fransiskus Andrianto Tjiptowidjojo was last updated on July 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.