Individual provider Active NPI

Nipoon Vipinchandra Dave, DDS

  • General Practice Dentistry
  • Hillsboro, OR
National Provider Identifier
1891960126
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9018 Issued in OR
Practice address
10315 NE Tanasbourne Dr Ste 300
Hillsboro, OR 97124-7837
Phone
(503) 531-1700
NPI assigned
Apr 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D9018 OR Primary

Addresses

Primary practice location

10315 NE Tanasbourne Dr Ste 300
Hillsboro, OR 97124-7837

Mailing address

10315 NE Tanasbourne Dr Ste 300
Hillsboro, OR 97124-7837
Phone (503) 531-1700

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
I20110815000403 OR Order and Referring Only - DentistPractitioner - Dentist 1052580727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1891960126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315 NE TANASBOURNE DR STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247837",
            "telephone_number": "503-531-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 NE TANASBOURNE DR STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247837",
            "telephone_number": "503-531-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "NIPOON",
        "middle_name": "VIPINCHANDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.