DR. JESSICA MINTIE KLOENNE D.M.D.
NPI 1891179875
Dentist in Portland, OR

Active since July 20, 2015PECOS Enrolled
511 SW 10TH AVE, STE 804, PORTLAND, OR 97205(503) 243-2505 Get Directions Write a Review

NPPES record last updated: October 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 30, 2017, Oct 11, 2016 (2 updates tracked since 2016).

About Dr. Jessica Mintie Kloenne D.m.d. NPPES

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

DR. JESSICA MINTIE KLOENNE D.M.D. (NPI 1891179875) is an individual dentist in Portland, Oregon, licensed in Oregon (D10301) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891179875
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JESSICA MINTIE KLOENNECredential: D.M.D.
Location Address511 SW 10TH AVE, STE 804Portland, OR 97205-2732
Mailing Address511 Sw 10th Ave Ste 804Portland, OR 97205-2709 · (503) 243-2505
Sole ProprietorNo
Enumeration DateJuly 20, 2015
Last NPPES UpdateOctober 30, 20172 updates tracked since enumeration
NPI 1891179875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OR · D10301
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.

511 SW 10TH AVE, Portland, OR 97205

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)

Dr. Jessica Mintie Kloenne D.m.d. 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 97205 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.

Optometrist
511 SW 10TH AVE, SUITE 500
PORTLAND, OR 97205
Optometrist (Vision Therapy)
511 SW 10TH AVE, SUITE 500
PORTLAND, OR 97205
Optometrist
511 SW 10TH AVE, SUITE 500
PORTLAND, OR 97205
Optometrist
511 SW 10TH AVE, SUITE 500
PORTLAND, OR 97205
Dietitian, Registered
511 SW 10TH AVE, 1006
PORTLAND, OR 97205
Optometrist (Vision Therapy)
511 SW 10TH AVE, SUITE 500
PORTLAND, OR 97205
Dentist (General Practice)
511 SW 10TH AVE, SUITE 1206
PORTLAND, OR 97205
Social Worker (Clinical)
511 SW 10TH AVE, SUITE 614
PORTLAND, OR 97205

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 Jessica Kloenne's NPI number?

The NPI number for Jessica Kloenne is 1891179875. It was assigned to this individual provider in the NPPES registry on July 20, 2015.

Where is Jessica Kloenne located?

Jessica Kloenne practices at 511 SW 10th Ave Ste 804, Portland, OR 97205. The listed phone number is (503) 243-2505.

What is Jessica Kloenne's specialty?

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

Is Jessica Kloenne enrolled in Medicare?

Yes. Jessica Kloenne is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Kloenne accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jessica Kloenne 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 Jessica Kloenne was last updated on October 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.