Kiran Mistry, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIRAN MISTRY, DDS, PC

Practice address

4414 NE Fremont St
Portland, OR 97213-1154

Phone

(503) 288-7481

NPI assigned

Sep 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kiran Mistry, DDSNPI 1437445103

Title

President

Phone

(714) 496-0682

Specialties & licenses 1

Addresses

Locations

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.

• Kiran Mistry, D.D.S.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1437445103
  NPD Authorized official
• Michael C Gerhards, DDS

  • General Practice Dentistry
  • Portland, OR
  • NPI 1881716462
  NPD (past)

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1952886566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 NE FREMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131154",
            "telephone_number": "503-288-7481",
            "fax_number": "503-284-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 NE FREMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131154",
            "telephone_number": "503-288-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRAN MISTRY, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "MISTRY",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-496-0682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ila Airy-Sunny Kipilman, CRM
• Alissa K Kipp, LMT
• Matthew David Kipp, PHARMD
• David Kirakossian, M.D.
• Laszlo Nicholas Kiraly, M.D.
• Aileen Lanette Kirby, MD
• Emily Kirby
• Laquenta Denise Kirby
• Matthew Kirby
• Melissa Kirby, MSED.

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.