ERIC THEODORE KRISS DDS NPI 1457971251

NPI Information

  • NPI: 1457971251
  • Provider Name: ERIC THEODORE KRISS, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2730 SW MOODY AVE BLDG
    PORTLAND, OR
    ZIP 97201
  • Phone: (504) 494-8867

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NPI Details

Eric Theodore Kriss, DDS is a general practice dentist in Portland, OR. The provider is 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. Eric Theodore Kriss, DDS NPI is 1457971251. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2730 SW MOODY AVE BLDG
PORTLAND, OR
ZIP 97201-042
Phone: (504) 494-8867

The NPI 1457971251 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/21/2020 and was last updated on 6/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD11357OREGONYes
2390200000XStudent in an Organized Health Care Education/Training ProgramD11357OREGONNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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