DR. ANGIE AGNES RAWLEY DMD
NPI 1619255809
Dentist in Gresham, OR

Q: What is Angie Rawley's NPI number?

The NPI number for Angie Rawley is 1619255809. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Q: What is Angie Rawley'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 Angie Rawley was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 July 22, 2011PECOS Enrolled

2458 SE BURNSIDE RD, GRESHAM, OR 97080(503) 666-8045 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Angie Agnes Rawley Dmd NPPES

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

DR. ANGIE AGNES RAWLEY DMD (NPI 1619255809) is an individual dentist in Gresham, Oregon, licensed in Oregon (D9622) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619255809

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. ANGIE AGNES RAWLEYCredential: DMD

Location Address2458 SE BURNSIDE RDGresham, OR 97080-1247

Mailing Address2458 Se Burnside RdGresham, OR 97080-1247 · (503) 666-8045

Phone(503) 666-8045

Sole ProprietorNo

Enumeration DateJuly 22, 2011

Last NPPES UpdateFebruary 21, 2012

✔ NPI 1619255809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D9622

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.

2458 SE BURNSIDE RD, Gresham, OR 97080

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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. Angie Agnes Rawley Dmd 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 97080 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.

DR. BRADLEY FULLER D.D.S.

Dentist (General Practice)

2458 SE BURNSIDE RD
GRESHAM, OR 97080

Multnomah County (503) 666-8045

KATHERINE MCKITRICK DMD

Dentist (Endodontics)

2458 SE BURNSIDE RD
GRESHAM, OR 97080

Multnomah County (503) 395-7732

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 Angie Rawley's NPI number?

The NPI number for Angie Rawley is 1619255809. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Where is Angie Rawley located?

Angie Rawley practices at 2458 SE Burnside Rd, Gresham, OR 97080. The listed phone number is (503) 666-8045.

What is Angie Rawley's specialty?

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

Is Angie Rawley enrolled in Medicare?

Yes. Angie Rawley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angie Rawley was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.