DR. BROCK D HERRIGES DMD
NPI 1942427216
Dentist - Periodontics in Portland, OR

Active since April 19, 2007PECOS Enrolled
1130 SE 122ND AVE, PORTLAND, OR 97233(503) 252-5515(503) 255-1625 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brock D Herriges Dmd NPPES

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

DR. BROCK D HERRIGES DMD (NPI 1942427216) is an individual periodontics provider in Portland, Oregon, licensed in Oregon (D8371) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942427216
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BROCK D HERRIGESCredential: DMD
Location Address1130 SE 122ND AVEPortland, OR 97233-1112
Mailing Address1130 Se 122nd AvePortland, OR 97233-1112 · (503) 252-5515 · Fax (503) 255-1625
Fax(503) 255-1625
Sole ProprietorNo
Enumeration DateApril 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1942427216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in OR · D8371
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1130 SE 122ND AVE, Portland, OR 97233

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. Brock D Herriges 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 97233 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 4

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

Dentist (Periodontics)
1130 SE 122ND AVE
PORTLAND, OR 97233
Dentist (Periodontics)
1130 SE 122ND AVE
PORTLAND, OR 97233
Dentist (Periodontics)
1130 SE 122ND AVE
PORTLAND, OR 97233
Dentist (Periodontics)
1130 SE 122ND AVE
PORTLAND, OR 97233

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 Brock Herriges's NPI number?

The NPI number for Brock Herriges is 1942427216. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Brock Herriges located?

Brock Herriges practices at 1130 SE 122nd Ave, Portland, OR 97233. The listed phone number is (503) 252-5515.

What is Brock Herriges's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Brock Herriges enrolled in Medicare?

Yes. Brock Herriges is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brock Herriges was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.