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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEVIN RAY EDWARDS DDS LLC
NPI 1821097122
Dentist - Endodontics in Portland, OR

Active since July 19, 2005
833 SW 11TH AVE, SUITE 910, PORTLAND, OR 97205(503) 222-5580(503) 224-4079 Get Directions Write a Review

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

Record update history: Jul 13, 2026, Jul 21, 2022 (2 updates tracked since 2022).

About Kevin Ray Edwards Dds Llc NPPES

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

KEVIN RAY EDWARDS DDS LLC (NPI 1821097122) is an individual endodontics provider in Portland, Oregon, licensed in Oregon (07877) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1821097122
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameKEVIN RAY EDWARDSCredential: DDS LLC
Location Address833 SW 11TH AVE, SUITE 910Portland, OR 97205-2125
Mailing Address833 Sw 11th Ave, Suite 910Portland, OR 97205-2125 · (503) 222-5580 · Fax (503) 224-4079
Phone(503) 222-5580
Fax(503) 224-4079
Sole ProprietorNo
Enumeration DateJuly 19, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1821097122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in OR · 07877
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
833 SW 11TH AVE, Portland, OR 97205
Open in Google Maps ↗

Other Identifiers 1

Other1326008United Concordia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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.

DR. LINDA WOOD MILLER PH.D.
Psychologist (Clinical)
833 SW 11TH AVE, #816
PORTLAND, OR 97205
Multnomah County (503) 706-0880
DR. VINCENT COLASURDO D.M.D.
Dentist (General Practice)
833 SW 11TH AVE, SUITE 723
PORTLAND, OR 97205
Multnomah County (503) 223-7661
SUSAN SACCOMANNO ND LAC INC
Naturopath
833 SW 11TH AVE, SUITE #1018
PORTLAND, OR 97205
Multnomah County (503) 224-2525
RONNI BATTERMAN LCSW
Social Worker (Clinical)
833 SW 11TH AVE, 612
PORTLAND, OR 97205
Multnomah County (503) 221-1890
DR. MARTHA ELIZABETH RICH DMD
Dentist
833 SW 11TH AVE, STE 405
PORTLAND, OR 97205
Multnomah County (503) 228-6870
MS. BEVERLY SCHWARTZ LCSW
Social Worker (Clinical)
833 SW 11TH AVE, SUITE 320
PORTLAND, OR 97205
Multnomah County (503) 227-5692
THE TMJ CLINIC, PC
Dentist
833 SW 11TH AVE, SUITE 810
PORTLAND, OR 97205
Multnomah County (503) 241-7353
LISA KAKISHITA DMD LLC
Dentist (General Practice)
833 SW 11TH AVE, #414
PORTLAND, OR 97205
Multnomah County (503) 221-9439

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 Kevin Edwards's NPI number?

The NPI number for Kevin Edwards is 1821097122. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Kevin Edwards located?

Kevin Edwards practices at 833 SW 11th Ave Suite 910, Portland, OR 97205. The listed phone number is (503) 222-5580.

What is Kevin Edwards's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Kevin Edwards accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and HRI Dental & Vision and 5 other insurers list Kevin Edwards 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 Kevin Edwards was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.