CLIFFORD DANIEL HEABERLIN
NPI 1700313871
Dentist - General Practice in Clackamas, OR

Q: What is Clifford Heaberlin's NPI number?

The NPI number for Clifford Heaberlin is 1700313871. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Q: What is Clifford Heaberlin's specialty?

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

Active since May 18, 2017PECOS Enrolled

9775 SE SUNNYSIDE RD STE 200, CLACKAMAS, OR 97015(503) 655-8471 Get Directions Write a Review

NPPES record last updated: July 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2017, May 18, 2017 (2 updates tracked since 2017).

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About Clifford Daniel Heaberlin NPPES

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

CLIFFORD DANIEL HEABERLIN (NPI 1700313871) is an individual general practice provider in Clackamas, Oregon, licensed in Oregon (D10706) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700313871

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameCLIFFORD DANIEL HEABERLIN

Location Address9775 SE SUNNYSIDE RD STE 200Clackamas, OR 97015-5721

Mailing Address4211 N Mississippi AvePortland, OR 97217-3132

Phone(503) 655-8471

Sole ProprietorNo

Enumeration DateMay 18, 2017

Last NPPES UpdateJuly 27, 20172 updates tracked since enumeration

✔ NPI 1700313871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D10706

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9775 SE SUNNYSIDE RD STE 200, Clackamas, OR 97015

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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)

Clifford Daniel Heaberlin 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 97015 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 14

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

MISS WENDY ANNE BATCHELOR SMITH R.N.

Registered Nurse (Community Health)