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DR. IAN ROBERT DICKINSON DMD
NPI 1699308130
Dentist - General Practice in Portland, OR

Active since February 12, 2020PECOS Enrolled
12750 SE STARK ST BLDG E, PORTLAND, OR 97233(971) 347-3009(971) 256-3277 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2022, Feb 12, 2020 (2 updates tracked since 2020).

About Dr. Ian Robert Dickinson Dmd NPPES

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

DR. IAN ROBERT DICKINSON DMD (NPI 1699308130) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D11412) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699308130
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. IAN ROBERT DICKINSONCredential: DMD
Location Address12750 SE STARK ST BLDG EPortland, OR 97233-1539
Mailing Address805 Se 74th AvePortland, OR 97215-2232 · (707) 280-1901
Phone(971) 347-3009
Fax(971) 256-3277
Sole ProprietorYes
Enumeration DateFebruary 12, 2020
Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
✔ NPI 1699308130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in OR · D11412✔ Licensed in CA · DDS104720
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12750 SE STARK ST BLDG E, Portland, OR 97233
Open in Google Maps ↗

Other Identifiers 2

OtherD-5100ID · Idaho Dental License
OtherDDS104720CA · California Dental License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Dominion National, Humana and more.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)

Dr. Ian Robert Dickinson 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 97233 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 20

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

SHAWNA LEBECHUCK-FISK DENTAL ASSISTANT
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
ACOSIA SIREWOP-LOPEZ DA
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
RACHEL J MORSETTE DA
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
JOURDAN L BURKLUND RDH
Dental Hygienist
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
LANAE D WASHBURN RDH
Dental Hygienist
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
PETER CLAIR ROBINSON WIDMER
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
NATIVE AMERICAN REHABILITATION ASSOC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
SANTE L VAN METER DA
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009

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 Ian Dickinson's NPI number?

The NPI number for Ian Dickinson is 1699308130. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Ian Dickinson located?

Ian Dickinson practices at 12750 SE Stark St Bldg E, Portland, OR 97233. The listed phone number is (971) 347-3009.

What is Ian Dickinson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ian Dickinson enrolled in Medicare?

Yes. Ian Dickinson is registered in the Medicare PECOS enrollment system.

What insurance does Ian Dickinson accept?

Health plans from BridgeSpan Health Company, Dominion National, Humana and Regence BlueCross BlueShield of Oregon list Ian Dickinson 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 Ian Dickinson was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.