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Gideon Prasanth Kodali, DMD
NPI 1194403485 · Dentist · Portland, OR
Gideon Prasanth Kodali, DMD is a Dentist provider in Portland, OR (NPI 1194403485).
Provider details
- NPI number
- 1194403485
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D11813 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15715 Nw Central Dr Ste 7
Portland, OR 97229-1267
Phone: (503) 610-4038
Street-level locationGet directions
Mailing address
6334 Se Imagine Way
Hillsboro, OR 97123-5059
Registry dates
- Enumerated
- 2023-07-07
- Last updated
- 2023-07-07
- Certified
- 2023-07-07
Frequently asked questions
- What is Gideon Prasanth Kodali's NPI number?
- Gideon Prasanth Kodali's National Provider Identifier (NPI) is 1194403485, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gideon Prasanth Kodali's specialty?
- Gideon Prasanth Kodali is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Gideon Prasanth Kodali located?
- Gideon Prasanth Kodali's practice location on file with NPPES is 15715 Nw Central Dr Ste 7, Portland, OR 97229-1267.
- What is Gideon Prasanth Kodali's phone number?
- The practice phone number listed in the NPPES registry for Gideon Prasanth Kodali is (503) 610-4038.
- Is Gideon Prasanth Kodali's NPI active?
- Yes — Gideon Prasanth Kodali's NPI (1194403485) is active in the NPPES registry as of the last update on 2023-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.