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NPISignal

Individual Healthcare Provider

Fransiskus Andrianto Tjiptowidjojo, D.D.S., M.S.

NPI Record: ActiveDentist — Prosthodontics
NPI1578985495
Happy Valley, Oregon

Provider's NPPES record last updated: July 4, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1578985495
Primary Specialty
Dentist — Prosthodontics
Practice Location
Happy Valley, Oregon
Sole Proprietor
Yes

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 20, 2026, 2:55 AM 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

    Prosthodontics

    Dental Providers

    Primary

    That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

    Taxonomy code 1223P0700X

Provider-Reported License Information

Dentist (Oregon)
D11565
Dentist (Michigan)
2901021710
Dentist (Virginia)
0401414234
Dentist (Illinois)
019.032507
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

9300 Se 91st Ave Ste 403

Happy Valley, Oregon 97086-3762

Phone: (503) 653-2299

Additional Practice Location

2700 Martin Luther King Jr Blvd

Detroit, Michigan 48208-2576

Phone: (313) 494-6786

Fax: (313) 494-6781

Additional Practice Location

1901 N Roselle Rd Ste 110

Schaumburg, Illinois 60195-3179

Phone: (847) 885-0105

Fax: (847) 885-9624

Record Information

Enumeration Date
January 11, 2014
Provider's NPPES Record Last Updated
July 4, 2022
Certification Date
July 3, 2022
NPISignal NPPES Dataset
August 2026

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