Individual provider Active NPI

Ashley Bayat, DDS

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1457767212
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10414 Issued in OR
Practice address
5415 SW Westgate Dr Ste 202
Portland, OR 97221-2429
Phone
(503) 292-8996
NPI assigned
Jul 1, 2014
Last updated
Nov 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2014019552 MO
Durable Medical Equipment & Medical Supplies 332B00000X D10414 OR
General Practice Dentistry 1223G0001X D10414 OR Primary

Addresses

Primary practice location

5415 SW Westgate Dr Ste 202
Portland, OR 97221-2429

Mailing address

5415 SW Westgate Dr Ste 202
Portland, OR 97221-2429
Phone (503) 292-8996

Other names 1

  • Ashley Nicole Bennett 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
D10414ORMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Bennett DDS, LLC General Practice CurrentSince Jan 10, 2021 Accepting new patients
Missouri Dental Professionals, Richard Straus, DMD, PC General Practice Past Accepting new patients

Locations

5415 SW Westgate Dr
Ste 202
Portland, OR 97221
Phone (503) 292-8996

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1457767212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 SW WESTGATE DR STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212429",
            "telephone_number": "503-292-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 SW WESTGATE DR STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212429",
            "telephone_number": "503-292-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYAT",
        "first_name": "ASHLEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2014019552",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "D10414",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BENNETT",
            "middle_name": "NICOLE",
            "credential": "DDS",
            "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 Nov 4, 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.