Individual provider Active NPI

Hetalbahen P Trivedi, DMD

  • General Practice Dentistry
  • Hillsboro, OR
National Provider Identifier
1972944692
Registry record updated Dec 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9893 Issued in OR
Practice address
1001 SE Tualatin Valley Hwy
A-16
Hillsboro, OR 97123-5097
Phone
(503) 693-1217
Fax
(503) 693-1137
NPI assigned
Jul 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2016

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 D9893 OR Primary

Addresses

Primary practice location

1001 SE Tualatin Valley Hwy
A-16
Hillsboro, OR 97123-5097

Mailing address

10115 SW Nimbus Ave
Ste 350
Tigard, OR 97223-4330
Phone (503) 684-7868

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
I20161227001528 OR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9234410697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9893ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aayra Dental LLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

7313 NE Imbrie Dr
Hillsboro, OR 97124
Phone (313) 505-3060

Organizations & group practices 1

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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1972944692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 SW NIMBUS AVE",
            "address_2": "STE 350",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972234330",
            "telephone_number": "503-684-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE TUALATIN VALLEY HWY",
            "address_2": "A-16",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971235097",
            "telephone_number": "503-693-1217",
            "fax_number": "503-693-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "HETALBAHEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.