Individual provider Active NPI

Kindel Bailey, DMD

  • Dentist
  • Portland, OR
National Provider Identifier
1306690672
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12060 Issued in OR
Practice address
7130 SW Garden Home Rd
Portland, OR 97223-9566
Phone
(503) 245-3143
NPI assigned
Apr 15, 2024
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D12060 OR Primary

Addresses

Primary practice location

7130 SW Garden Home Rd
Portland, OR 97223-9566

Mailing address

7130 SW Garden Home Rd
Portland, OR 97223-9566
Phone (503) 245-3143

Other practice location 1

1951 Oak St
Forest Grove, OR 97116-2000
Phone (971) 306-4789

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240822003537 OR Order and Referring Only - DentistPractitioner - Dentist 0840739728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory N Alexander DDS PC PastSince Jul 9, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1306690672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 SW GARDEN HOME RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239566",
            "telephone_number": "503-245-3143",
            "fax_number": "503-245-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 SW GARDEN HOME RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239566",
            "telephone_number": "503-245-3143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 Oak St",
            "address_purpose": "LOCATION",
            "city": "Forest Grove",
            "state": "OR",
            "postal_code": "971162000",
            "country_code": "US",
            "telephone_number": "971-306-4789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KINDEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D12060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.