NPIMap

Individual provider Active NPI

Chris Hyung Min Cha, DMD

  • Dentist
  • Portland, OR
National Provider Identifier
1417207572
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9775 Issued in OR
Practice address
7990 NE Glisan St
Portland, OR 97213-7040
Phone
(503) 208-2220
Fax
(503) 208-2221
NPI assigned
Sep 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 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 D9775 OR Primary

Addresses

Primary practice location

7990 NE Glisan St
Portland, OR 97213-7040

Mailing address

7990 NE Glisan St
Portland, OR 97213-7040
Phone (503) 208-2220

Other names 1

  • Hyung Min Cha Former name

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

LicenseStateTypeSpecialty
D9775ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Glisan Dental Corporation Past Accepting new patients
Eastport Plaza Dental P.C. Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1417207572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7990 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972137040",
            "telephone_number": "503-208-2220",
            "fax_number": "503-208-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7990 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972137040",
            "telephone_number": "503-208-2220",
            "fax_number": "503-208-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "CHRIS",
        "middle_name": "HYUNG MIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-17",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HYUNG MIN",
            "last_name": "CHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.