JOHNSON CREEK DENTAL OFFICE
NPI 1629699863
Dentist in Happy Valley, OR

Q: What is Kaiser Foundation Health Plan Of The Northwest's specialty?

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

Active since April 28, 2020

9300 SE 91ST AVE STE 310, HAPPY VALLEY, OR 97086(800) 813-2000 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Johnson Creek Dental Office NPPES

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

JOHNSON CREEK DENTAL OFFICE (NPI 1629699863) is a healthcare organization registered as a dentist in Happy Valley, Oregon and active in the NPI registry since April 2020. The organization lists Stephen Shawn Barton, Executive Director, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1629699863

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Location Address9300 SE 91ST AVE STE 310Happy Valley, OR 97086-3762

Mailing Address500 Ne Multnomah StPortland, OR 97232-2023 · (800) 813-2000

Phone(800) 813-2000

Organization SubpartYes

Authorized OfficialStephen Shawn BartonExecutive Director, Revenue Cycle · (503) 813-2440

Enumeration DateApril 28, 2020

Last NPPES UpdateJune 1, 2021

NPPES CertifiedJune 1, 2021

✔ NPI 1629699863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

9300 SE 91ST AVE STE 310, Happy Valley, OR 97086

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Other Names 1

Doing Business AsJohnson Creek Dental Office

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

MS. VICTORIA KAYE WORTHINGTON EFDA

Dental Assistant