DR. KYLE EDWARD HERNDON DDS
NPI 1750883963
Dentist in Beaverton, OR

Active since March 03, 2018PECOS Enrolled
4925 SW GRIFFITH DR, BEAVERTON, OR 97005(855) 433-6825 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 9, 2021, Sep 5, 2019, Mar 3, 2018 (3 updates tracked since 2018).

About Dr. Kyle Edward Herndon Dds NPPES

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

DR. KYLE EDWARD HERNDON DDS (NPI 1750883963) is an individual dentist in Beaverton, Oregon, licensed in Oregon (D11057) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750883963
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KYLE EDWARD HERNDONCredential: DDS
Location Address4925 SW GRIFFITH DRBeaverton, OR 97005-2923
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (855) 433-6825
Sole ProprietorYes
Enumeration DateMarch 3, 2018
Last NPPES UpdateDecember 9, 20213 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
NPI 1750883963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OR · D11057
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.

4925 SW GRIFFITH DR, Beaverton, OR 97005

Other Names 1

Former Name (1)Dr. Kyle Edward Herndon

Accepted 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. Kyle Edward Herndon Dds 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 97005 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.

Dental Hygienist
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Health Maintenance Organization
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Dental Hygienist
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Health Maintenance Organization
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Dentist (General Practice)
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Dentist (General Practice)
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Dentist (General Practice)
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Dentist (Orthodontics and Dentofacial Orthopedics)
4925 SW GRIFFITH DR
BEAVERTON, OR 97005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750883963, enumerated as an "individual" on March 03, 2018.

The provider is located at 4925 SW GRIFFITH DR BEAVERTON, OR 97005 and the phone number is (855) 433-6825.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.