Organization Active NPI

King & Crown LLC

Doing business as King Dental

  • Dentist
  • Portland, OR
National Provider Identifier
1659169167
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KING & CROWN LLC
Doing business as
King Dental
Practice address
4506 SE 105TH Ave
Portland, OR 97266-3528
Phone
(503) 512-0206
NPI assigned
Apr 26, 2025
Last updated
Apr 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Authorized official

Name
Hibery Nhu Ho, DMD
Title
General Dentist
Phone
(971) 717-1302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4506 SE 105TH Ave
Portland, OR 97266-3528

Mailing address

10253 SE Nicole Loop
Happy Valley, OR 97086-6879
Phone (503) 512-0062

Other names 1

  • KING DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

4506 SE 105th Ave
Portland, OR 97266
Phone (503) 512-0206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745625600000",
    "number": "1659169167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10253 SE NICOLE LOOP",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970866879",
            "telephone_number": "503-512-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 SE 105TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972663528",
            "telephone_number": "503-512-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING & CROWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-26",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "HIBERY",
        "authorized_official_middle_name": "NHU",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "971-717-1302",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KING DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 26, 2025; 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.