Individual provider Active NPI

Richard J Hikade, DDS

  • Dentist
  • Clackamas, OR
National Provider Identifier
1386633527
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5432 Issued in OR
Practice address
14210 SE Sunnyside Rd
#200
Clackamas, OR 97015-5240
Phone
(503) 558-9828
Fax
(503) 558-9829
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5432 OR Primary

Addresses

Primary practice location

14210 SE Sunnyside Rd
#200
Clackamas, OR 97015-5240

Mailing address

14210 SE Sunnyside Rd
#200
Clackamas, OR 97015-5240
Phone (503) 558-9828

Other identifiers 1

IdentifierTypeStateIssuer
131107MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 13, 2015 through Jan 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5432ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brooke Hikade Wyatt, DMD, LLC PastSince Jun 11, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386633527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 SE SUNNYSIDE RD",
            "address_2": "#200",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155240",
            "telephone_number": "503-558-9828",
            "fax_number": "503-558-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 SE SUNNYSIDE RD",
            "address_2": "#200",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155240",
            "telephone_number": "503-558-9828",
            "fax_number": "503-558-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIKADE",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "5432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131107",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

Verify at the official NPI Registry.