DR. DAVID ADAM GOLDWYN DDS
NPI 1962496315
Dentist - Periodontics in Portland, OR

Active since August 31, 2005PECOS Enrolled
2350 SW MULTNOMAH BLVD, PORTLAND, OR 97219(503) 245-0180(503) 452-3634 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. David Adam Goldwyn Dds NPPES

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

DR. DAVID ADAM GOLDWYN DDS (NPI 1962496315) is an individual periodontics provider in Portland, Oregon, licensed in Oregon (D8010) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962496315
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DAVID ADAM GOLDWYNCredential: DDS
Location Address2350 SW MULTNOMAH BLVDPortland, OR 97219-3999
Mailing Address2350 Sw Multnomah BlvdPortland, OR 97219-3999 · (503) 245-0180 · Fax (503) 452-3634
Fax(503) 452-3634
Sole ProprietorNo
Enumeration DateAugust 31, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1962496315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in OR · D8010
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.

2350 SW MULTNOMAH BLVD, Portland, OR 97219

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. David Adam Goldwyn Dds 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 97219 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 8

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

Clinic/Center (Dental)
2350 SW MULTNOMAH BLVD, SUITE B
PORTLAND, OR 97219
Dentist (General Practice)
2350 SW MULTNOMAH BLVD
PORTLAND, OR 97219
Dentist (Orthodontics and Dentofacial Orthopedics)
2350 SW MULTNOMAH BLVD, SUITE C
PORTLAND, OR 97219
Dentist (General Practice)
2350 SW MULTNOMAH BLVD, SUITE H
PORTLAND, OR 97219
Dentist (General Practice)
2350 SW MULTNOMAH BLVD, SUITE B
PORTLAND, OR 97219
Dentist
2350 SW MULTNOMAH BLVD
PORTLAND, OR 97219
Dentist (Pediatric Dentistry)
2350 SW MULTNOMAH BLVD, SUITE J
PORTLAND, OR 97219
Dentist (Periodontics)
2350 SW MULTNOMAH BLVD
PORTLAND, OR 97219

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 David Goldwyn's NPI number?

The NPI number for David Goldwyn is 1962496315. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is David Goldwyn located?

David Goldwyn practices at 2350 SW Multnomah Blvd, Portland, OR 97219. The listed phone number is (503) 245-0180.

What is David Goldwyn's specialty?

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

Is David Goldwyn enrolled in Medicare?

Yes. David Goldwyn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

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