Kyle H. Van, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7871 Issued in OR

Practice address

16755 SW Baseline Rd
Beaverton, OR 97006-4241

Phone

(503) 533-4001

Fax

(503) 533-4116

NPI assigned

Sep 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kyle H. Van Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Perledent Dental Care, PC

  • Dentist
  • Beaverton, OR
  • NPI 1255704813
  NPD (past) Authorized official

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770570251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NW 11TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092972",
            "telephone_number": "503-702-3565",
            "fax_number": "503-533-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16755 SW BASELINE RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064241",
            "telephone_number": "503-533-4001",
            "fax_number": "503-533-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "KYLE",
        "middle_name": "H.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLE",
            "last_name": "VAN",
            "middle_name": "H.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hailey Van Elswyk
• Abe Howard Van Hatch, MA
• Michelle Diane Van Horn
• Jillian Lucille Van Staaveren, DPT
• Taryn Weslie Van Vliet
• Thao Van, PA
• Joseph Elias Vance, D.C.
• Vancouver DG LLC
• Margaret S. Vandenbark, M.D.
• Alisa Vanderzalm, MSW

• General Practice Dentistry in Beaverton, OR
• Providers in Beaverton, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.