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TD EAST BURNSIDE GPS LLC
NPI 1922953298
Dentist - General Practice in Portland, OR

Active since March 03, 2026
1200 SE SANDY BLVD, PORTLAND, OR 97214(503) 419-6499 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2026, Mar 3, 2026 (2 updates tracked since 2026).

About Td East Burnside Gps Llc NPPES

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

TD EAST BURNSIDE GPS LLC (NPI 1922953298), doing business as Timber Dental East Burnside, is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since March 2026. The organization lists Matt Kathan, Owner, as its authorized official.

NPPES Registry Identity

NPI1922953298
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTD EAST BURNSIDE GPS LLC
Location Address1200 SE SANDY BLVDPortland, OR 97214-1347
Mailing Address1200 Se Sandy BlvdPortland, OR 97214-1347
Phone(503) 419-6499
Organization SubpartNo
Authorized OfficialMatt KathanOwner · (503) 419-6499
Enumeration DateMarch 3, 2026
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1922953298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

1200 SE SANDY BLVD, Portland, OR 97214
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Other Names 1

Doing Business AsTimber Dental East Burnside

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

TIMBER DENTAL EAST BURNSIDE
Dentist (General Practice)
1200 SE SANDY BLVD
PORTLAND, OR 97214
Multnomah County (503) 419-6499

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 Td East Burnside Gps LLC's NPI number?

The NPI number for Td East Burnside Gps LLC is 1922953298. It was assigned to this organization in the NPPES registry on March 3, 2026. The provider is doing business as Timber Dental East Burnside.

Where is Td East Burnside Gps LLC located?

Td East Burnside Gps LLC is located at 1200 SE Sandy Blvd, Portland, OR 97214. The listed phone number is (503) 419-6499.

What is Td East Burnside Gps LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Td East Burnside Gps LLC was last updated on April 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.