Thomas Jay Kobitter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D12205 Issued in OR

Practice address

8568 SW Apple Way
Portland, OR 97225-1772

Phone

(503) 292-6773

NPI assigned

Feb 7, 2024

Last updated

Aug 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1396509675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SW COLUMBIA ST APT 1402",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015887",
            "telephone_number": "224-456-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8568 SW APPLE WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251772",
            "telephone_number": "503-292-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBITTER",
        "first_name": "THOMAS",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-07",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D12205",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ko
• Da Young Ko, MD
• Elizabeth Ko, PHARMD
• Yongmin Ko, PHARMD
• Caroline Kobin, LCSW
• Annie Kobliska-Becker, MSW, LCSW
• Annabelle L Kobrzycki, BSW, QMHA
• Lisbeth Kobs
• Amy Mee-Ran Dorin Kobus, PHD
• Daniel Robert Kocarnik, MD

• Dentist in Portland, OR
• Providers in Portland, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.