1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Dentist
  6. NPI Profile

ADAM POLAN DMD
NPI 1902136989
Dentist - General Practice in Portland, OR

Active since January 13, 2010PECOS Enrolled
3514 NE BROADWAY ST, PORTLAND, OR 97232(503) 284-1602(503) 284-1602 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adam Polan Dmd NPPES

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

ADAM POLAN DMD (NPI 1902136989) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D9383) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902136989
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameADAM POLANCredential: DMD
Location Address3514 NE BROADWAY STPortland, OR 97232-1821
Mailing Address3514 Ne Broadway StPortland, OR 97232-1821 · (503) 284-1602 · Fax (503) 284-1602
Phone(503) 284-1602
Fax(503) 284-1602
Sole ProprietorNo
Enumeration DateJanuary 13, 2010
Last NPPES UpdateOctober 11, 2023
NPPES CertifiedAugust 29, 2023
✔ NPI 1902136989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in OR · D9383✔ Licensed in WA · DE60123701
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3514 NE BROADWAY ST, Portland, OR 97232
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Adam Polan 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 97232 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. HESAM MOSHARRAF DMD
Dentist
3514 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 616-4330
MRS. ALLISON RENEE GERDES RDH
Dental Hygienist
3514 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 284-1602
MICHAELYN VAN TRUONG DMD
Dentist (General Practice)
3514 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 284-1602
VI THI TRUONG
Dental Hygienist
3514 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 984-7281
ROBERT J MCKEEVER RDH
Dental Hygienist
3514 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 433-3240

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 Adam Polan's NPI number?

The NPI number for Adam Polan is 1902136989. It was assigned to this individual provider in the NPPES registry on January 13, 2010.

Where is Adam Polan located?

Adam Polan practices at 3514 NE Broadway St, Portland, OR 97232. The listed phone number is (503) 284-1602.

What is Adam Polan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Adam Polan enrolled in Medicare?

Yes. Adam Polan is registered in the Medicare PECOS enrollment system.

What insurance does Adam Polan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 11 other insurers list Adam Polan 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 Adam Polan was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.