Active NPI
Ellen Krippaehne Ciobanasiu, DMD
- Dentist
- Portland, OR
National Provider Identifier
1821857293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12105
- 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
- Last updated
- Nov 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12105 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West End Dental | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.