OrganizationActive
Impact Sleep Dentistry
NPI 1215683503 · Dentist · Beaverton, OR
Provider details
- NPI number
- 1215683503
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Melika Kashkouli, Owner(503) 679-5072
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
3415 Sw 187th Ave
Beaverton, OR 97003-3106
Phone: (503) 649-3101
Street-level locationGet directions
Mailing address
17455 Sw Hoodoo Ct
Beaverton, OR 97007-7702
Registry dates
- Enumerated
- 2022-02-24
- Last updated
- 2022-04-29
- Certified
- 2022-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.