DR. MASTANEH POURNADERI D.D.S
NPI 1063729523
Dentist in Portland, OR
NPI Status: Active since September 04, 2010
Contact Information
12710 SE DIVISION ST
PORTLAND, OR
ZIP 97236
Phone: (503) 988-3410
- Individual
- Female
- Dentist
- Accepts Insurance
About MASTANEH POURNADERI
This page provides the complete NPI Profile along with additional information for Mastaneh Pournaderi, a provider established in Portland, Oregon with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1063729523 assigned on September 2010. The practitioner's primary taxonomy code is 122300000X with license number D8516 (OR). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1063729523
- Provider Name
- DR. MASTANEH POURNADERI D.D.S
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 12710 SE DIVISION ST PORTLAND, OR 97236
- Location Phone
- (503) 988-3410
- Mailing Address
- 14820 NW TRANQUILITY DR BANKS, OR 97106
- Mailing Phone
- (503) 324-0631
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-04-2010
- Last Update Date
- 09-04-2010
- Code Navigator
A dentist like Mastaneh Pournaderi is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- D8516
- License State
- OR
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | 42083 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Standard - HMO
- Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Standard - HMO
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Standard - HMO
- Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Standard - HMO
- BEST Life Superior Dental Plan - PPO
- BEST Essential Basic Dental Plan - PPO
- BEST Life Essentail Basic Dental Plan - PPO
- BEST Life Essentail Value Dental Plan - PPO
- BEST Life Essental Value Dental Plan - PPO
- BEST Life Essential Basic Dental - PPO
- BEST Life Essential Basic Dental Plan - PPO
- BEST Life Essential Basic Dental - PPO
- BEST Life Essential Basic Dental Plan - PPO
- BEST Life Essential Vakue Dental Plan - PPO
- BEST Life Essential Value Dental Plan - PPO
- BEST Life Essential Value Dental - PPO
- BEST Life Essential Value Dental Plan - PPO
- BEST Life Preferred Dental Plan - PPO
- BEST Life Preferred Dental - PPO
- BEST Life Preferred Dental Plan - PPO
- BEST Life Preferred Dental plan - PPO
- BEST Life Superior Dental - PPO
- BEST Life Superior Dental Plan - PPO
- BEST Life Superior Dental Plan - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Choice PPO Basic - PPO
- Choice PPO Basic Kids - PPO
- Choice PPO Plus - PPO
- Choice PPO Premium - PPO
- Choice PPO Premium Kids - PPO
- Choice PPO Preventive - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
- Paramount Dental Essential Plus Plan - EPO
- Paramount Dental Preventive Family Plan - EPO
- Paramount Dental Total Care Plan - EPO
- HRI Essential Plus Plan - HMO
- HRI Essential Plus Plan - PPO
- HRI Preventive Family Plan - HMO
- HRI Preventive Family Plan - PPO
- HRI Total Care Plan - HMO
- HRI Total Care Plan - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for DR. MASTANEH POURNADERI D.D.S
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 7 | 2 | 9 | 5 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 14 | 2 | 18 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 4 + 2 + 1 + 8 + 5 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1063729523 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447298260 | MARY E MEADOWS MD Individual | Family Medicine | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3601 |
| 1245247907 | MS. CAROLE GAGLIONE NP Individual | Nurse Practitioner (Pediatrics) | 12710 SE DIVISION ST MID COUNTY HEALTH CLINIC PORTLAND, OR 97236 (503) 988-3601 |
| 1033219746 | DR. ALYSSA T FRANZEN DMD Individual | Dentist (General Practice) | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3410 |
| 1457432213 | DR. ERICA S WALDAU D.M.D. Individual | Dentist | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3410 |
| 1508947102 | DR. MICHELLE C. KEYS DMD Individual | Dentist | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3410 |
| 1093887267 | DR. DANIEL E SKOURTES D.M.D Individual | Dentist (General Practice) | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3410 |
| 1023184801 | DR. SAMY F TANYOS D.M.D. Individual | Dentist | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3816 |
| 1790008472 | JESSICA MARIE HARRISON MSSW, LCSW Individual | Social Worker (Clinical) | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3601 |
| 1023380508 | DONALD EUGENE POSTEN LCSW Individual | Social Worker (Clinical) | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3601 |
| 1013166263 | DR. SERGEY Y KIRPICHENKO DMD Individual | Dentist (General Practice) | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3410 |
| 1982888376 | JOHN NJENGA PA, MS, MHS, MPH Individual | Family Medicine | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-5578 |
| 1922279272 | MARCUS WARREN COOKSEY NPF Individual | Nurse Practitioner | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3601 |
| 1922485135 | MARY CAITLIN WELLS FNP Individual | Nurse Practitioner (Family) | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-5155 |
| 1578875696 | ISHMAEL TOGAMAE MD, MPH & TM Individual | Family Medicine | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3601 |
| 1740352780 | MRS. TATYANA BONDARCHUK RDH Individual | Dental Hygienist | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3410 |
| 1245524552 | MARIA MALLOY RDH Individual | Dental Hygienist | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3410 |
| 1871869149 | MS. ADRIANE MARIE TUTTLE MSN, FNP-BC Individual | Nurse Practitioner (Family) | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3601 |
| 1508879677 | DR. STEPHANIE ANN MCANDREW MD Individual | Family Medicine | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3601 |
| 1447707625 | MARGOT PRESLEY NP Individual | Nurse Practitioner (Family) | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-3601 |
| 1447547807 | MONICA J GULLEY M.D. Individual | Family Medicine | 12710 SE DIVISION ST PORTLAND, OR 97236 (503) 988-5558 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063729523, enumerated in the NPI registry as an "individual" on September 04, 2010
The provider is located at 12710 Se Division St Portland, Or 97236 and the phone number is (503) 988-3410
The provider's speciality is Dentist with taxonomy code 122300000X
The provider might be accepting Accepts: Antidote Health Plan of Arizona, Inc., Antidote. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 04, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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