KAISER PERMANENTE 3 TO PHD DENTAL
NPI 1861918005
Dentist in Portland, OR

Q: What is Kaiser Permanente Dental Care Program's specialty?

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

Active since August 18, 2017

2930 NE DEKUM ST, PORTLAND, OR 97211(800) 813-2000(503) 286-6879 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 1, 2021, Aug 18, 2017 (2 updates tracked since 2017).

On this page

About Kaiser Permanente 3 To Phd Dental NPPES

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

KAISER PERMANENTE 3 TO PHD DENTAL (NPI 1861918005) is a healthcare organization registered as a dentist in Portland, Oregon and active in the NPI registry since August 2017. The organization lists Amy Marko, Dental Business Leader, as its authorized official.

NPPES Registry Identity

NPI1861918005

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameKAISER PERMANENTE DENTAL CARE PROGRAM

Location Address2930 NE DEKUM STPortland, OR 97211-6613

Mailing Address500 Ne Multnomah StPortland, OR 97232-2023 · (800) 813-2000 · Fax (503) 286-6879

Phone(800) 813-2000

Fax(503) 286-6879

Organization SubpartYesParent: Kaiser Foundation Health Plan Of The Nw

Authorized OfficialAmy MarkoDental Business Leader · (503) 813-4660

Enumeration DateAugust 18, 2017

Last NPPES UpdateJune 1, 20212 updates tracked since enumeration

NPPES CertifiedJune 1, 2021

✔ NPI 1861918005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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 ListedDental HygienistTaxonomy 124Q00000X

2930 NE DEKUM ST, Portland, OR 97211

Open in Google Maps ↗

Other Names 1

Other NameKaiser Permanente 3 To Phd Dental

Other Identifiers 1

MedicaidXXXXXOR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

KAISER FOUNDATION HEALTH PLAN NORTHWEST

Family Medicine

2930 NE DEKUM ST
PORTLAND, OR 97211

Multnomah County (800) 813-2000

REBECCA LYNN SHERRETT EFDA

Dental Assistant

2930 NE DEKUM ST
PORTLAND, OR 97211

Multnomah County (503) 916-5908

SARAH HOHM CCC-SLP

Speech-Language Pathologist

2930 NE DEKUM ST
PORTLAND, OR 97211

Multnomah County (503) 916-5686

KAISER FOUNDATION HEALTH PLAN NORTHWEST

Dentist

2930 NE DEKUM ST
PORTLAND, OR 97211

Multnomah County (800) 813-2000

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 Kaiser Permanente Dental Care Program's NPI number?

The NPI number for Kaiser Permanente Dental Care Program is 1861918005. It was assigned to this organization in the NPPES registry on August 18, 2017. The provider is also known as Kaiser Permanente 3 To Phd Dental.

Where is Kaiser Permanente Dental Care Program located?

Kaiser Permanente Dental Care Program is located at 2930 NE Dekum St, Portland, OR 97211. The listed phone number is (800) 813-2000.

What is Kaiser Permanente Dental Care Program's specialty?

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

When was this NPI record last updated?

The NPPES record for Kaiser Permanente Dental Care Program was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.