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NPI · 1295080836 · NPPES-sourced

Mountainside Family Dentistry LLC

ActiveDentist
NPI Number
1295080836
Type 2 · Organisation
Taxonomy Code
122300000X
Contact
(503) 762-2525
License OR · D8325
Last Updated
Enumerated
Primary practice addressOR · 97236-3405
3740 Se 122nd AvePortland, OR 97236-3405
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About this NPIWhat this record shows.

NPI 1295080836 is registered to Mountainside Family Dentistry LLC, a healthcare organisation classified as "Dentist" and located at 3740 Se 122nd Ave in Portland, Oregon. The organisation's authorised official is Derek Conklin. The organisation has been enumerated in the NPI registry since 2012.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mountainside Family Dentistry LLC accepts. To confirm in-network status with your specific health plan, contact Mountainside Family Dentistry LLC directly at (503) 762-2525.

Frequently asked

Yes. NPI 1295080836 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (503) 762-2525.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mountainside Family Dentistry LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy122300000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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