Amy Nicole Lacoste, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D11898 Issued in OR

Practice address

12025 SW 70TH Ave
Tigard, OR 97223-9634

Phone

(503) 765-7965

NPI assigned

Jun 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Amy Nicole Schlehofer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1518699263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12705 SW TRASK ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970073024",
            "telephone_number": "916-532-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12025 SW 70TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972239634",
            "telephone_number": "503-765-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOSTE",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11898",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D11898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SCHLEHOFER",
            "middle_name": "NICOLE",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacey Ann Labenske
• Selena Araceli Laborin
• Allison Nicole Labrousse, LPC INTERN, MA
• Sophia Anne-Louise Lachapelle, BSW, QMHA
• Rachel Lackey
• Lactation Consultants of America
• Dawn Michelle Lafollette
• Andrea Maria Lairson, PHYSICAL THERAPIST
• Quinn Elle Lake, LCSW
• Vivian Lam, D.M.D

• Periodontics in Tigard, OR
• Providers in Tigard, OR by specialty
• Periodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.

Verify at the official NPI Registry.