Bayside Dental Care of Portland

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BAYSIDE DENTAL CARE OF PORTLAND

Practice address

101 Cedar Dr Ste B
Portland, TX 78374-2939

Phone

(361) 643-9557

NPI assigned

Feb 25, 2026

Last updated

Feb 25, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Ryan Gresham, DDSNPI 1578262275

Title

General Dentist

Phone

(806) 206-2183

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitchell Ryan Gresham, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1578262275
  NPD Authorized official
• Jennifer R Sterns-Duncan, DDS

  • General Practice Dentistry
  • Portland, TX
  • NPI 1518172394
  NPD (past)

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1891649778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CEDAR DR STE B",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CEDAR DR STE B",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742939",
            "telephone_number": "361-643-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE DENTAL CARE OF PORTLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "806-206-2183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Lee Barnhart III
• Marisa Barra, OTR
• Renessa Barrera
• Robert M Barton, Jr., OD
• Bay Area Healthcare Group, LTD. (ER 24/7 Portland, a department of Corpus Christi Medical Center)
• Kimberly Beal, LVN
• Iris Beltran
• David Benitez
• Sarah Taylor Bethel
• Priya Jay Bhakta, PHARMACIST

• Dental Clinic/Center in Portland, TX
• Providers in Portland, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.