Individual provider Active NPI

Steven Toufik Elkhal, D.M.D.

  • Endodontics
  • Portland, OR
National Provider Identifier
1922179217
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D8724 Issued in OR
Practice address
15925 SE Stark St
Portland, OR 97233-3525
Phone
(503) 253-0291
Fax
(503) 253-1096
NPI assigned
Nov 10, 2006
Last updated
May 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X D8724 OR Primary
Endodontics 1223E0200X DE60215887 WA

Addresses

Primary practice location

15925 SE Stark St
Portland, OR 97233-3525

Mailing address

4117 SW 5TH Dr
Gresham, OR 97030-6427
Phone (503) 724-3245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D8724ORMDEndodontist
DE60215887WAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
East City Dental PastSince Feb 23, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1922179217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 SW 5TH DR",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970306427",
            "telephone_number": "503-724-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15925 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972333525",
            "telephone_number": "503-253-0291",
            "fax_number": "503-253-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKHAL",
        "first_name": "STEVEN",
        "middle_name": "TOUFIK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D8724",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60215887",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 19, 2011; 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.