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AMY KATHLEEN PRUETT DMD
NPI 1689006439
Dentist in Portland, OR

Active since August 04, 2013PECOS Enrolled
8931 SE FOSTER RD, PORTLAND, OR 97266(855) 433-6825 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2025, Sep 18, 2017 (2 updates tracked since 2017).

About Amy Kathleen Pruett Dmd NPPES

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

AMY KATHLEEN PRUETT DMD (NPI 1689006439) is an individual dentist in Portland, Oregon, licensed in Oregon (D9934) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689006439
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameAMY KATHLEEN PRUETTCredential: DMD
Location Address8931 SE FOSTER RDPortland, OR 97266-4661
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (855) 433-6825
Phone(855) 433-6825
Sole ProprietorYes
Enumeration DateAugust 4, 2013
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1689006439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D9934
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.
8931 SE FOSTER RD, Portland, OR 97266
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Other Identifiers 2

Other1689006439Npi
OtherD9934Oregon Dental License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Kathleen Pruett 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 97266 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 18

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

MS. THAO MINHPHOUNG CHU D.D.S.
Dentist (General Practice)
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825
DR. BLAINE E. MOWREY D.M.D., M.S.
Dentist (Endodontics)
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825
DR. KOICHI SAITO D.M.D.
Dentist (Endodontics)
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825
JENNIFER ROSALES D.M.D.
Dentist
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825
DR. TU ANH NGUYEN DDS
Dentist
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825
DR. RAJIV RAMCHANDRA PAONASKAR D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825
EMILY REBECCA GOFF DMD
Dentist
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825
BAHAR TAJDAR DMD
Dentist (General Practice)
8931 SE FOSTER RD
PORTLAND, OR 97266
Multnomah County (855) 433-6825

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 Amy Pruett's NPI number?

The NPI number for Amy Pruett is 1689006439. It was assigned to this individual provider in the NPPES registry on August 4, 2013.

Where is Amy Pruett located?

Amy Pruett practices at 8931 SE Foster Rd, Portland, OR 97266. The listed phone number is (855) 433-6825.

What is Amy Pruett's specialty?

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

Is Amy Pruett enrolled in Medicare?

Yes. Amy Pruett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Pruett was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.