MR. JAN ANDREW KOONING DMD PC
NPI 1770599144
Dentist - Oral and Maxillofacial Surgery in Portland, OR

Q: What is Jan Kooning's NPI number?

The NPI number for Jan Kooning is 1770599144. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Jan Kooning's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Jan Kooning was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 31, 2006PECOS Enrolled

3549 N LOMBARD, PORTLAND, OR 97217(503) 289-9621(503) 289-2930 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Jan Andrew Kooning Dmd Pc NPPES

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

MR. JAN ANDREW KOONING DMD PC (NPI 1770599144) is an individual oral and maxillofacial surgery provider in Portland, Oregon, licensed in Oregon (D6081) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770599144

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameMR. JAN ANDREW KOONINGCredential: DMD PC

Location Address3549 N LOMBARDPortland, OR 97217-5901

Mailing Address3549 N LombardPortland, OR 97217-5901 · (503) 289-9621 · Fax (503) 289-2930

Phone(503) 289-9621

Fax(503) 289-2930

Sole ProprietorNo

Enumeration DateJuly 31, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1770599144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in OR · D6081

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

3549 N LOMBARD, Portland, OR 97217

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

Mr. Jan Andrew Kooning Dmd Pc 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 97217 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

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

COLUMBIA PARK ORAL SURGERY PC

Dentist (Oral and Maxillofacial Surgery)

3549 N LOMBARD
PORTLAND, OR 97217

Multnomah County (503) 289-9621

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 Jan Kooning's NPI number?

The NPI number for Jan Kooning is 1770599144. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Jan Kooning located?

Jan Kooning practices at 3549 N Lombard, Portland, OR 97217. The listed phone number is (503) 289-9621.

What is Jan Kooning's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jan Kooning enrolled in Medicare?

Yes. Jan Kooning is registered in the Medicare PECOS enrollment system.

What insurance does Jan Kooning accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Jan Kooning 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 Jan Kooning was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.