Active NPI
Yoseline Vidrio
- Pediatric Dentistry
- Portland, OR
National Provider Identifier
1427738921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D12121
- Practice address
- 10300 SE Washington St Ste C101
Portland, OR 97216-2805 - Phone
- (503) 776-3091
- NPI assigned
- Jul 19, 2023
- Last updated
- Jul 9, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D12121 | OR | Primary |
Addresses
Primary practice location
10300 SE Washington St Ste C101
Portland, OR 97216-2805
Mailing address
6748 Clifford St
Riverside, CA 92504-2107
Phone (951) 202-4361
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250214000992 | OR | Order and Referring Only - Dentist | 3173053550 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1427738921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6748 CLIFFORD ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925042107",
"telephone_number": "951-202-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SE WASHINGTON ST STE C101",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162805",
"telephone_number": "503-776-3091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIDRIO",
"first_name": "YOSELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OR",
"license": "D12121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.