Active NPI
Dharmini Pathmanathan, DMD, PHD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Beaverton, OR
National Provider Identifier
1689988651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D9438
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230731003738 | OR | Order and Referring Only - Dentist | 1658732144 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9438 | OR | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Aberdeen, WA
- NPI 1851775514
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.