Active NPI
Khalid Rasheed, DDS
- Dentist
- Portland, OR
National Provider Identifier
1306181417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D9642
- Practice address
- 3570 SW River Pkwy Unit 1405
Portland, OR 97239-4543 - Phone
- (510) 468-9710
- NPI assigned
- Nov 29, 2012
- Last updated
- Nov 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D9642 | OR | Primary |
Addresses
Primary practice location
3570 SW River Pkwy Unit 1405
Portland, OR 97239-4543
Mailing address
3570 SW River Pkwy Unit 1405
Portland, OR 97239-4543
Phone (510) 468-9710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 3, 2020 through Sep 3, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9642 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol Periodontal Group | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1306181417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3570 SW RIVER PKWY UNIT 1405",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394543",
"telephone_number": "510-468-9710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3570 SW RIVER PKWY UNIT 1405",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394543",
"telephone_number": "510-468-9710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASHEED",
"first_name": "KHALID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-29",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D9642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.