Active NPI
Ahmed Mohamed Ahmed Mohame Elamin, DMD
- General Practice Dentistry
- Tigard, OR
National Provider Identifier
1366284895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D12117
- Practice address
- 13175 SW Raptor PL
Tigard, OR 97223-2872 - Phone
- (503) 758-5607
- NPI assigned
- Jun 6, 2024
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D12117 | OR | Primary |
Addresses
Primary practice location
13175 SW Raptor PL
Tigard, OR 97223-2872
Mailing address
9820 SW Frewing St Apt 27
Tigard, OR 97223-5064
Phone (503) 758-5607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D12117 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1366284895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9820 SW FREWING ST APT 27",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235064",
"telephone_number": "503-758-5607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13175 SW RAPTOR PL",
"city": "TIGARD",
"state": "OR",
"postal_code": "972232872",
"telephone_number": "503-758-5607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELAMIN",
"first_name": "AHMED",
"middle_name": "MOHAMED AHMED MOHAME",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-06",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D12117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
- Katherine Virginia Eichner, PH.D
- Sarah Ray Eisenach
- Dawn M Ek, CADC II
- Husameddin Rawhi El-Bakri, M.D.
- Natasha El-Massih, LAC
- Amelia Eryn Eldridge-Erickson
- Elevation Chiropractic and Rehabilitation
- Elevation Chiropractic P.C. (Elevation Chiropractic and Rehabilitation)
- Elite Care Grant LLC (DBA Fanno Creek by Elite Care)
- Emily Elliott, M.S.W
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.