OrganizationActive
Ken W. Waddell, DMD P.C.
NPI 1356530422 · General Practice Dentistry · Portland, OR
Ken W. Waddell, DMD P.C. is a General Practice Dentistry organization in Portland, OR (NPI 1356530422).
Provider details
- NPI number
- 1356530422
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ken Waddell, Owner(503) 684-8445
- License
- D5796 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
15495 Sw Sequoia Pkwy
Suite 120
Portland, OR 97224-6100
Phone: (503) 684-8445
Street-level locationGet directions
Mailing address
15495 Sw Sequoia Pkwy
Portland, OR 97224-6100
Other names (DBA / former)
- Doing business as
- Dental Professional
Registry dates
- Enumerated
- 2007-10-15
- Last updated
- 2007-10-15
Frequently asked questions
- What is Ken W. Waddell, DMD P.C.'s NPI number?
- Ken W. Waddell, DMD P.C.'s National Provider Identifier (NPI) is 1356530422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ken W. Waddell, DMD P.C.?
- Ken W. Waddell, DMD P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Ken W. Waddell, DMD P.C. located?
- Ken W. Waddell, DMD P.C.'s practice location on file with NPPES is 15495 Sw Sequoia Pkwy, Portland, OR 97224-6100.
- What is Ken W. Waddell, DMD P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Ken W. Waddell, DMD P.C. is (503) 684-8445.
- Who is the authorized official for Ken W. Waddell, DMD P.C.?
- The authorized official listed on Ken W. Waddell, DMD P.C.'s NPPES record is Ken Waddell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ken W. Waddell, DMD P.C.'s NPI active?
- Yes — Ken W. Waddell, DMD P.C.'s NPI (1356530422) is active in the NPPES registry as of the last update on 2007-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.