DR. ANASTACIA M. WHITMAN DMD NPI 1972639623

NPI Information

NPI: 1972639623
Provider Name: DR. ANASTACIA M. WHITMAN, DMD
Classification: Dentist - 1223P0221X
Specialization: Pediatric Dentistry
Entity Type: Individual
PECOS Registration: Yes
Address: 4548 N ALBINA AVE
PORTLAND, OR
ZIP 97217
Phone: (503) 626-9711

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NPI Details

DR. Anastacia M. Whitman, DMD is a pediatric dentistry dentist in Portland, OR. The provider is 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. DR. Anastacia M. Whitman, DMD NPI is 1972639623. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4548 N ALBINA AVE
PORTLAND, OR
ZIP 97217-010
Phone: (503) 626-9711

The NPI 1972639623 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 2/26/2007 and was last updated on 2/10/2016.

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
1	1223P0221X	Dentist	Pediatric Dentistry	10970	WASHINGTON	No
2	1223P0221X	Dentist	Pediatric Dentistry	D8950	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	244432	MEDICAID	OREGON
2	2015488(DSHS)	MEDICARE UPIN	WASHINGTON

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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