Individual provider Active NPI

Christine Marie Chin, DMD

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1699728592
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6631 Issued in OR
Practice address
1600 SW Cedar Hills Blvd
St. 107
Portland, OR 97225-5439
Phone
(503) 643-7502
Fax
(503) 641-4771
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6631 OR Primary

Addresses

Primary practice location

1600 SW Cedar Hills Blvd
St. 107
Portland, OR 97225-5439

Mailing address

1600 SW Cedar Hills Blvd
St. 107
Portland, OR 97225-5439
Phone (503) 643-7502

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
I20160614000742 OR Order and Referring Only - DentistPractitioner - Dentist 3971894403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6631ORMDOther Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Hills Dental Care General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699728592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW CEDAR HILLS BLVD",
            "address_2": "ST. 107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255439",
            "telephone_number": "503-643-7502",
            "fax_number": "503-641-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW CEDAR HILLS BLVD",
            "address_2": "ST. 107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255439",
            "telephone_number": "503-643-7502",
            "fax_number": "503-641-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.