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DR. TRISTAN VITTORIO MARTIN DMD
NPI 1902044761
Dentist in Portland, OR

Active since January 30, 2009PECOS Enrolled
17130 SW UPPER BOONES FERRY RD, PORTLAND, OR 97224(503) 639-6620 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tristan Vittorio Martin Dmd NPPES

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

DR. TRISTAN VITTORIO MARTIN DMD (NPI 1902044761) is an individual dentist in Portland, Oregon, licensed in Washington (DE60041843) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902044761
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TRISTAN VITTORIO MARTINCredential: DMD
Location Address17130 SW UPPER BOONES FERRY RDPortland, OR 97224-7004
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611
Phone(503) 639-6620
Sole ProprietorNo
Enumeration DateJanuary 30, 2009
Last NPPES UpdateApril 13, 2016
✔ NPI 1902044761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE60041843
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.
17130 SW UPPER BOONES FERRY RD, Portland, OR 97224
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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. Tristan Vittorio Martin 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97224 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 5

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

DR. THOMAS DAVID CARDWELL DMD
Dentist
17130 SW UPPER BOONES FERRY RD
PORTLAND, OR 97224
Washington County (855) 433-6825
DR. MICHAEL STEVEN BLINDHEIM DMD
Dentist (General Practice)
17130 SW UPPER BOONES FERRY RD
PORTLAND, OR 97224
Washington County (503) 639-6620
DR. ERICKA SMITH DMD
Dentist
17130 SW UPPER BOONES FERRY RD
PORTLAND, OR 97224
Washington County (855) 433-6825
DR. TREVOR DANIEL WOOLF DDS
Dentist (General Practice)
17130 SW UPPER BOONES FERRY RD
PORTLAND, OR 97224
Washington County (503) 639-6620
DR. MELANIE JANELLE GRANT DMD
Dentist
17130 SW UPPER BOONES FERRY RD
PORTLAND, OR 97224
Washington County (503) 952-2100

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 Tristan Martin's NPI number?

The NPI number for Tristan Martin is 1902044761. It was assigned to this individual provider in the NPPES registry on January 30, 2009.

Where is Tristan Martin located?

Tristan Martin practices at 17130 SW Upper Boones Ferry Rd, Portland, OR 97224. The listed phone number is (503) 639-6620.

What is Tristan Martin's specialty?

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

Is Tristan Martin enrolled in Medicare?

Yes. Tristan Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tristan Martin was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.