Clifford L Brock, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5673 Issued in OR

Practice address

3418 SE Belmont St
Portland, OR 97214-4247

Phone

(503) 236-3706

NPI assigned

Jul 7, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alive Rehabilitation Services LLC

  dba Alive Chiropractic & Rehabilitation LLC

  • Chiropractor
  • The Dalles, OR
  • NPI 1871007468
  NPD (past)
• Smiles on Belmont LLC

  • Dentist
  • Portland, OR
  • NPI 1356815518
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275531915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144247",
            "telephone_number": "503-236-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144247",
            "telephone_number": "503-236-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "CLIFFORD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "5673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin C Brochu
• Brock D. Herriges, DMD, LLC
• Amy Brock
• Bryan Brock
• Christina Brock
• McKenzie Marie Brock, MSW
• Michael Richard Brock, QMHA
• Stephen Michael Brock, QMHA
• Jennifer Lynn Brocker, D.C.
• Jaqueline Lopes Brockert, ND

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.