Organization Active NPI

Kristi Huynh DMD, LLC

  • Dental Clinic/Center
  • Portland, OR
National Provider Identifier
1972305845
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KRISTI HUYNH DMD, LLC
Practice address
11619 NE Glisan St
Portland, OR 97220-2262
Phone
(503) 255-9733
Fax
(503) 894-8517
NPI assigned
Mar 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Kristi Huynh, DMDNPI 1881695591
Title
Owner
Phone
(503) 255-9733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11619 NE Glisan St
Portland, OR 97220-2262

Mailing address

11619 NE Glisan St
Portland, OR 97220-2262
Phone (503) 255-9733

Other names 1

  • Rose City Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

11619 NE Glisan St
Portland, OR 97220
Phone (503) 255-9722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1972305845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11619 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202262",
            "telephone_number": "503-255-9733",
            "fax_number": "509-894-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11619 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202262",
            "telephone_number": "503-255-9733",
            "fax_number": "503-894-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI HUYNH DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-255-9733",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose City Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 24, 2025; 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.