GRAND AVENUE DENTAL OFFICE
NPI 1982156113
Dentist - General Practice in Portland, OR

Q: What is Kaiser Foundation Health Plan Of The Northwest's specialty?

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

Active since November 04, 2016

1314 NE GRAND AVE, PORTLAND, OR 97232(800) 813-2000(503) 286-6879 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2021, Nov 4, 2016 (2 updates tracked since 2016).

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About Grand Avenue Dental Office NPPES

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

GRAND AVENUE DENTAL OFFICE (NPI 1982156113) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since November 2016. The organization lists Kenneth R Wright, Vp Dental Care Services, as its authorized official.

NPPES Registry Identity

NPI1982156113

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Location Address1314 NE GRAND AVEPortland, OR 97232-1127

Mailing Address500 Ne Multnomah StPortland, OR 97232-2023 · (800) 813-2000 · Fax (503) 286-6879

Phone(800) 813-2000

Fax(503) 286-6879

Organization SubpartYesParent: Kaiser Permanente Dental Care Program

Authorized OfficialKenneth R WrightVp Dental Care Services · (503) 813-4660

Enumeration DateNovember 4, 2016

Last NPPES UpdateJune 1, 20212 updates tracked since enumeration

NPPES CertifiedJune 1, 2021

✔ NPI 1982156113 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.

1314 NE GRAND AVE, Portland, OR 97232

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Other Names 1

Other NameGrand Avenue Dental Office

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MRS. SHARON LYNNE BROWN RDH

Dental Hygienist