OrganizationActive
Grant Park Dentistry, PC
NPI 1205220209 · General Practice Dentistry · Portland, OR
Grant Park Dentistry, PC is a General Practice Dentistry organization in Portland, OR (NPI 1205220209).
Provider details
- NPI number
- 1205220209
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Todd Cockrell, Owner(503) 282-0521
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
3280 Ne Broadway
Portland, OR 97232
Phone: (503) 282-0521
Fax: (503) 282-1084
Street-level locationGet directions
Mailing address
17000 Red Hill Ave
Irvine, CA 92614-5626
Other names (DBA / former)
- Doing business as
- Grant Park Dentistry
Registry dates
- Enumerated
- 2015-03-27
- Last updated
- 2015-03-27
Frequently asked questions
- What is Grant Park Dentistry, PC's NPI number?
- Grant Park Dentistry, PC's National Provider Identifier (NPI) is 1205220209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grant Park Dentistry, PC?
- Grant Park Dentistry, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Grant Park Dentistry, PC located?
- Grant Park Dentistry, PC's practice location on file with NPPES is 3280 Ne Broadway, Portland, OR 97232.
- What is Grant Park Dentistry, PC's phone number?
- The practice phone number listed in the NPPES registry for Grant Park Dentistry, PC is (503) 282-0521.
- Who is the authorized official for Grant Park Dentistry, PC?
- The authorized official listed on Grant Park Dentistry, PC's NPPES record is Todd Cockrell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grant Park Dentistry, PC's NPI active?
- Yes — Grant Park Dentistry, PC's NPI (1205220209) is active in the NPPES registry as of the last update on 2015-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.