Individual provider Active NPI

Dharmini Pathmanathan, DMD, PHD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Beaverton, OR
National Provider Identifier
1689988651
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D9438 Issued in OR
Practice address
17305 NW Corridor CT Ste 150
Beaverton, OR 97006-3542
Phone
(503) 531-8844
NPI assigned
Aug 2, 2010
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D9438 OR
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D9438 OR Primary

Addresses

Primary practice location

17305 NW Corridor CT Ste 150
Beaverton, OR 97006-3542

Mailing address

6242 NE Brighton St
Hillsboro, OR 97124-5076
Phone (503) 501-7752

Other practice location 1

216 W Heron St
Aberdeen, WA 98520-6225
Phone (360) 532-5437

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230731003738 OR Order and Referring Only - DentistPractitioner - Dentist 1658732144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
D9438ORMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Kids Dental PLLC Past Accepting new patients

Organizations & group practices 1

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": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1689988651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6242 NE BRIGHTON ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245076",
            "telephone_number": "503-501-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17305 NW CORRIDOR CT STE 150",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063542",
            "telephone_number": "503-531-8844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 W Heron St",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "WA",
            "postal_code": "985206225",
            "country_code": "US",
            "telephone_number": "360-532-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATHMANATHAN",
        "first_name": "DHARMINI",
        "name_prefix": "Dr.",
        "credential": "DMD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D9438",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D9438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.