Rebecca Kuperstein, DDS, MPH, Ms, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D8632 Issued in OR

Legal business name

REBECCA KUPERSTEIN, DDS, MPH, MS, PC

Practice address

539 SE 39TH Ave
Portland, OR 97214

Phone

(503) 236-3800

Fax

(503) 236-8540

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Kuperstein, DDS, MPH, MSNPI 1730151382

Title

President

Phone

(503) 236-3800

Specialties & licenses 1

Addresses

Other names 1

• Parkside Orthodontics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Kuperstein, D.D.S, M.P.H., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Portland, OR
  • NPI 1730151382
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508088758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 SE 39TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97214",
            "telephone_number": "503-236-3800",
            "fax_number": "503-236-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 SE 39TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97214",
            "telephone_number": "503-236-3800",
            "fax_number": "503-236-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA KUPERSTEIN, DDS, MPH, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUPERSTEIN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-236-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MPH, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D8632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Earl Reavis, LCSW
• Katherine Reavis
• Kevin Michael Reavis, MD
• Caroline Reay, MD
• Rebecca Changizian
• Rebecca Oyer, MSW, LCSW, Sep, LLC
• Rebel Heart Therapy LLC
• Ashley Rebenski, BA
• Rebloom Recovery
• Trisha Renae Rebman

• Orthodontics and Dentofacial Orthopedics Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.