Individual provider Active NPI

Brandon Scott Kearbey, DDS

  • Dentist
  • Hillsboro, OR
National Provider Identifier
1912167941
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9648 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
Jun 12, 2008
Sex
Male
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 D9648 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
I20160523001072 OR Order and Referring Only - DentistPractitioner - Dentist 8325337850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9648ORMDDentist

Practice roles

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

Locations

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

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1912167941",
    "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": "BRANDON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.