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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.

SCARLETT KETTWICH DMD
NPI 1881212488
Dentist - Dental Public Health in Sandy, OR

Active since July 09, 2020PECOS Enrolled
39740 PLEASANT ST, SANDY, OR 97055(503) 655-8471 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2026, Jul 9, 2020 (2 updates tracked since 2020).

About Scarlett Kettwich Dmd NPPES

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

SCARLETT KETTWICH DMD (NPI 1881212488) is an individual dental public health provider in Sandy, Oregon, licensed in Oregon (D11512) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881212488
Entity TypeIndividualFemale
Primary Taxonomy1223D0001X
Provider Legal NameSCARLETT KETTWICHCredential: DMD
Location Address39740 PLEASANT STSandy, OR 97055-6412
Mailing Address39740 Pleasant StSandy, OR 97055-6412 · (503) 655-8471
Phone(503) 655-8471
Sole ProprietorYes
Enumeration DateJuly 9, 2020
Last NPPES UpdateSeptember 15, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1881212488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in OR · D11512
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
39740 PLEASANT ST, Sandy, OR 97055
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scarlett Kettwich Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Scarlett Kettwich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clackamas County
15 mi
Federally Qualified Health Center (FQHC)
9775 SE SUNNYSIDE RD STE 200
Clackamas, OR 97015
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: County Of Clackamas Office Of County Auditor
  • 130 clinicians in this Medicare group
NPI 1891042487 (503) 794-3830

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97055 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 14

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

JAMIE PARIS
Case Manager/Care Coordinator
39740 PLEASANT ST
SANDY, OR 97055
Clackamas County (503) 722-6950
COUNTY OF CLACKAMAS OFFICE OF COUNTY AUDITOR
Clinic/Center (Federally Qualified Health Center (FQHC))
39740 PLEASANT ST
SANDY, OR 97055
Clackamas County (503) 668-3483
KAREN G HEDDEN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
39740 PLEASANT ST
SANDY, OR 97055
Clackamas County (503) 722-6950
WING DJAYA DMD
Dentist (General Practice)
39740 PLEASANT ST
SANDY, OR 97055
Clackamas County (503) 475-5558
MR. NICHOLAS CHRISTIAN BRECHBIEL
Counselor (Mental Health)
39740 PLEASANT ST
SANDY, OR 97055
Clackamas County (503) 722-6950
MADISON E OMOHUNDRO BS
Counselor
39740 PLEASANT ST
SANDY, OR 97055
Clackamas County (503) 655-8471
HANNAH GLASER
Case Manager/Care Coordinator
39740 PLEASANT ST
SANDY, OR 97055
Clackamas County (503) 655-8470
JONESSA FELICES BARRIOS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
39740 PLEASANT ST
SANDY, OR 97055
Clackamas County (503) 655-8471

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 Scarlett Kettwich's NPI number?

The NPI number for Scarlett Kettwich is 1881212488. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Scarlett Kettwich located?

Scarlett Kettwich practices at 39740 Pleasant St, Sandy, OR 97055. The listed phone number is (503) 655-8471.

What is Scarlett Kettwich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Scarlett Kettwich enrolled in Medicare?

Yes. Scarlett Kettwich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Scarlett Kettwich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scarlett Kettwich reassigns Medicare benefits to Clackamas County (Clackamas, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scarlett Kettwich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Scarlett Kettwich was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 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.