Individual provider Active NPI

Richard W Zeider, DMD

  • General Practice Dentistry
  • Tigard, OR
National Provider Identifier
1336298108
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5237 Issued in OR
Practice address
8863 SW Center St
Tigard, OR 97223-6461
Phone
(503) 639-3167
NPI assigned
Jan 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5237 OR Primary

Addresses

Primary practice location

8863 SW Center St
Tigard, OR 97223-6461

Mailing address

8863 SW Center St
Tigard, OR 97223-6461
Phone (503) 639-3167

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
I20160212001675 OR Order and Referring Only - DentistPractitioner - Dentist 5395049258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5237ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jasmine Tran DMD LLC General Practice PastSince Jun 15, 2025 Accepting new patients
Jonathan Faris DMD PC PastSince Dec 1, 2023 Accepting new patients

Organizations & group practices 2

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336298108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8863 SW CENTER ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236461",
            "telephone_number": "503-639-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8863 SW CENTER ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236461",
            "telephone_number": "503-639-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIDER",
        "first_name": "RICHARD",
        "middle_name": "W",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "5237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.