ALISTAIR L KOK DDS
NPI 1841376563
Dentist in Portland, OR

Active since October 27, 2006PECOS 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: March 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2021, Apr 1, 2019 (2 updates tracked since 2019).

About Alistair L Kok Dds NPPES

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

ALISTAIR L KOK DDS (NPI 1841376563) is an individual dentist in Portland, Oregon, licensed in Oregon (D10201) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841376563
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameALISTAIR L KOKCredential: DDS
Location Address12750 SE STARK ST BLDG EPortland, OR 97233-1539
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Fax(971) 256-3277
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateMarch 26, 20212 updates tracked since enumeration
NPPES CertifiedMarch 26, 2021
NPI 1841376563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OR · D10201
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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 0401410812 (VA)
12750 SE STARK ST BLDG E, Portland, OR 97233

Other Identifiers 2

Medicaid500691396OR
Medicaid2164640WA

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)

Alistair L Kok 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 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.

Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Dentist (General Practice)
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Dental Hygienist
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233

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 Alistair Kok's NPI number?

The NPI number for Alistair Kok is 1841376563. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Alistair Kok located?

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

What is Alistair Kok's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Alistair Kok enrolled in Medicare?

Yes. Alistair Kok is registered in the Medicare PECOS enrollment system.

What insurance does Alistair Kok accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 13 other insurers list Alistair Kok 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 Alistair Kok was last updated on March 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.