ERIC J DIERKS MD, DMD
NPI 1265432025
Oral & Maxillofacial Surgery in Portland, OR
NPI Status: Active since July 22, 2005
Contact Information
1849 NW KEARNEY ST
PORTLAND, OR
ZIP 97209
Phone: (503) 224-1371
Fax: (503) 224-0722
- Individual
- Male
- Oral & Maxillofacial Surgery
- Accepts Insurance
About ERIC DIERKS
This page provides the complete NPI Profile along with additional information for Eric Dierks, a provider established in Portland, Oregon with a medical specialization in Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1265432025 assigned on July 2005. The practitioner's primary taxonomy code is 204E00000X with license number MD16391 (OR). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1265432025
- Provider Name
- ERIC J DIERKS MD, DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1849 NW KEARNEY ST PORTLAND, OR 97209
- Location Phone
- (503) 224-1371
- Location Fax
- (503) 224-0722
- Mailing Address
- 1849 NW KEARNEY ST STE 300 PORTLAND, OR 97209
- Mailing Phone
- (503) 224-1371
- Mailing Fax
- (503) 224-0722
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-22-2005
- Last Update Date
- 06-11-2018
- Code Navigator
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
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD16391
- License State
- OR
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | D6708 (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- 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
- 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
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 008560 | MEDICAID (05) | OR |
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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 | 2 | 6 | 5 | 4 | 3 | 2 | 0 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 8 | 3 | 4 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 8 + 3 + 4 + 0 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1265432025 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346249281 | DR. BRYCE EARL POTTER MD, DMD Individual | Oral & Maxillofacial Surgery | 1849 NW KEARNEY ST STE 300 PORTLAND, OR 97209 (503) 224-1371 |
| 1467452276 | DR. JAMES P CUYLER MD, FRCSC Individual | Otolaryngology (Pediatric Otolaryngology) | 1849 NW KEARNEY ST PORTLAND, OR 97209 (503) 224-1371 |
| 1396918611 | JAMES P CUYLER, M.D., P.C. Organization | Otolaryngology (Pediatric Otolaryngology) | 1849 NW KEARNEY ST SUITE 200 PORTLAND, OR 97209 (503) 553-3664 |
| 1053643023 | MRS. KAREN SUSAN HOYT RNFA Individual | Registered Nurse (Registered Nurse First Assistant) | 1849 NW KEARNEY ST SUITE 300 PORTLAND, OR 97209 (503) 553-3661 |
| 1023331469 | TRAUMA SPECIALISTS, LLP Organization | Specialist | 1849 NW KEARNEY ST SUITE 100 PORTLAND, OR 97209 (503) 915-6030 |
| 1982940169 | MR. BRET ANTHONY WONDERLICK M.S. CCC-A Individual | Audiologist | 1849 NW KEARNEY ST SUITE 200 PORTLAND, OR 97209 (971) 570-5387 |
| 1730332198 | DR. JOHN DAVID MILLER D.D.S. Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 1849 NW KEARNEY ST SUITE 200 PORTLAND, OR 97209 (503) 944-9374 |
| 1114372653 | OREGON INTERVENTIONAL PAIN CONSULTANTS, LLC Organization | Clinic/Center (Medical Specialty) | 1849 NW KEARNEY ST SUITE 201 PORTLAND, OR 97209 (503) 477-5205 |
| 1578500880 | SHERRY M DICKIE M.S. CCC-A Individual | Audiologist | 1849 NW KEARNEY ST STE 200 PORTLAND, OR 97209 (503) 553-3664 |
| 1043415870 | DR. ASHISH A PATEL MD, DDS,FACS Individual | Oral & Maxillofacial Surgery | 1849 NW KEARNEY ST SUITE 300 PORTLAND, OR 97209 (503) 224-1371 |
| 1043537707 | ALLEN C CHENG MD, DDS Individual | Oral & Maxillofacial Surgery | 1849 NW KEARNEY ST SUITE 300 PORTLAND, OR 97209 (503) 224-1371 |
| 1528257961 | R STERLING HODGSON MD LLC Organization | Otolaryngology (Otology & Neurotology) | 1849 NW KEARNEY ST SUITE 200 PORTLAND, OR 97209 (503) 525-3647 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265432025, enumerated in the NPI registry as an "individual" on July 22, 2005
The provider is located at 1849 Nw Kearney St Portland, Or 97209 and the phone number is (503) 224-1371
The provider's speciality is Oral & Maxillofacial Surgery with taxonomy code 204E00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. 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 July 22, 2005. 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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