NPIMap

Organization Active NPI

Gresham Family Dental, LLC

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1265557789
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D4528 Issued in OR
Legal business name
GRESHAM FAMILY DENTAL, LLC
Practice address
19265 SE Stark St
Suite a
Portland, OR 97233-5758
Phone
(503) 666-9519
NPI assigned
Mar 21, 2007
Organization subpart
Yes
Parent organization
GRESHAM FAMILY DENTAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brandon C. Kasch
Title
Manager
Phone
(503) 666-9519

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D4528 OR Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D8126 OR
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D8648 OR
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X H1529 OR

Addresses

Primary practice location

19265 SE Stark St
Suite a
Portland, OR 97233-5758

Mailing address

19265 SE Stark St Ste a
Portland, OR 97233-5758
Phone (503) 666-9519

Other names 2

  • Sleep Dentistry Of Portland-EAST Doing business as
  • Floyd H Kasch Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Gresham Family Dental LLC4 organizations share this tax ID, including this one
Part of
Gresham Family Dental LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19265 SE Stark St
Ste A
Portland, OR 97233
Phone (503) 666-9519

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1265557789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19265 SE STARK ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335758",
            "telephone_number": "503-666-9519",
            "fax_number": "503-666-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19265 SE STARK ST",
            "address_2": "SUITE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335758",
            "telephone_number": "503-666-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRESHAM FAMILY DENTAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRESHAM FAMILY DENTAL, LLC",
        "enumeration_date": "2007-03-21",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "KASCH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-666-9519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D4528",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8126",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8648",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H1529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Dentistry Of Portland-EAST",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Floyd H Kasch",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.