Individual provider Active NPI

Ellen Krippaehne Ciobanasiu, DMD

  • Dentist
  • Portland, OR
National Provider Identifier
1821857293
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12105 Issued in OR
Practice address
833 SW 11TH Ave Ste 300
Portland, OR 97205-2117
Phone
(503) 220-8262
Fax
(503) 222-0029
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12105 OR Primary

Addresses

Primary practice location

833 SW 11TH Ave Ste 300
Portland, OR 97205-2117

Mailing address

833 SW 11TH Ave Ste 300
Portland, OR 97205-2117
Phone (503) 220-8262

Other names 1

  • Ellen Krippaehne Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 29, 2025 through Oct 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12105ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
West End Dental CurrentSince Nov 18, 2025 Accepting new patients

Locations

833 SW 11th Ave
Ste 300
Portland, OR 97205
Phone (503) 224-7815

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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1821857293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052117",
            "telephone_number": "503-220-8262",
            "fax_number": "503-222-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052117",
            "telephone_number": "503-220-8262",
            "fax_number": "503-222-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOBANASIU",
        "first_name": "ELLEN",
        "middle_name": "KRIPPAEHNE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "12105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "KRIPPAEHNE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.