Individual provider Active NPI

Malinda Brietta Kearbey, DDS

  • Dentist
  • Hillsboro, OR
National Provider Identifier
1831221845
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9647 Issued in OR
Practice address
1322 NE Orenco Station Pkwy
Suite 300
Hillsboro, OR 97124-5424
Phone
(503) 640-4262
Fax
(503) 640-9887
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D9647 OR Primary

Addresses

Primary practice location

1322 NE Orenco Station Pkwy
Suite 300
Hillsboro, OR 97124-5424

Mailing address

1322 NE Orenco Station Pkwy
Suite 300
Hillsboro, OR 97124-5424
Phone (503) 640-4262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523001359 OR Order and Referring Only - DentistPractitioner - Dentist 8527357060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9647ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Dentists at Orenco Station Past Accepting new patients
K Squared Smiles, LLC PastSince Jun 16, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1831221845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 NE ORENCO STATION PKWY",
            "address_2": "SUITE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245424",
            "telephone_number": "503-640-4262",
            "fax_number": "503-640-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 NE ORENCO STATION PKWY",
            "address_2": "SUITE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245424",
            "telephone_number": "503-640-4262",
            "fax_number": "503-640-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARBEY",
        "first_name": "MALINDA",
        "middle_name": "BRIETTA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.