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Organization

Deca Dentistry

NPI Record: ActiveDentist — General Practice
NPI1124548235
Gresham, Oregon

Provider's NPPES record last updated: March 17, 2018

Overview

Entity Type
Organization
NPI
1124548235
Primary Specialty
Dentist — General Practice
Practice Location
Gresham, Oregon
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 4:17 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dentist

    General Practice

    Dental Providers

    Primary

    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

    Taxonomy code 1223G0001X
  • Dentist

    Endodontics

    Dental Providers

    The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

    Taxonomy code 1223E0200X
  • Dentist

    Pediatric Dentistry

    Dental Providers

    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

    Taxonomy code 1223P0221X

Provider-Reported License Information

Dentist (Oregon)
D10377
Dentist (Oregon)
D10376
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

501 Ne Hood Ave Ste 235

Gresham, Oregon 97030-7346

Phone: (503) 661-4900

Additional Practice Location

5440 Sw Westgate Dr Ste 165

Portland, Oregon 97221-2421

Phone: (503) 267-9400

Record Information

Enumeration Date
June 21, 2017
Provider's NPPES Record Last Updated
March 17, 2018
NPISignal NPPES Dataset
August 2026

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