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
- 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Portland, OR
- NPI 1164569638
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.