Active NPI
Nhu Thi Khanh Ho, DMD
- Dentist
- Portland, OR
National Provider Identifier
1760157929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11489
- Practice address
- 4506 SE 105TH Ave
Portland, OR 97266-3528 - Phone
- (503) 250-2550
- NPI assigned
- Aug 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE61195226 | WA | |
| Dentist | 122300000X | D11489 | OR | 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 (971) 717-1302
Other names 1
- Hibery Ho
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20211111001536 | CA | Order and Referring Only - Dentist | 4880083922 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11489 | OR | MD | Dentist |
| DE61195226 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King & Crown LLC | Dentist | Current | Accepting new patients |
| Washington Dental Corporation PC | Past | Accepting new patients |
Locations
4506 SE 105th Ave
Portland, OR 97266
Phone (503) 250-2550
Organizations & group practices 2
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.
-
- Dentist
- Portland, OR
- NPI 1659169167
-
- General Practice Dentistry
- Vancouver, WA
- NPI 1376945287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745625600000",
"number": "1760157929",
"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": "971-717-1302"
},
{
"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": "503-250-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "NHU",
"middle_name": "THI KHANH",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2025-04-26",
"certification_date": "2025-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61195226",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D11489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HIBERY",
"last_name": "HO",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.