Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316391402 Individual Practitioner Male Practitioner

Keith Brannen

Dentist - General Practice • Portland, OR

Professional Overview & Biography Verified Profile Summary

Keith Brannen is a registered healthcare professional specializing in Dentist - General Practice in Portland, OR. Practice services are available at 3181 SW SAM JACKSON PARK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3181 Sw Sam Jackson Park Rd

Portland, OR 972393011

Telephone 5034948916
Fax 5034946783
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
448 Specialists

Practicing in Portland, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D11353

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Sunshine Welsch , LMT

Massage Therapist

NPI 1003132747

Licensed Massage Therapist

NPI 1184544389

Doctor of Dental Medicine

Dr. Daniel Petrisor , DMD, MD

Oral & Maxillofacial Surgery

NPI 1235332834

Doctor of Dental Medicine, Doctor of Medicine (M.D.)

Dr. Jonathan Jelmini , DDS, MD

Oral & Maxillofacial Surgery

NPI 1477000164

Doctor of Dental Surgery, Doctor of Medicine (M.D.)

Dr. Reza Heshmati , DDS

Dentist - Prosthodontics

NPI 1508929753

Doctor of Dental Surgery

Dr. Charles Carriere , DMD

Dentist - General Practice

NPI 1518462944

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location June 13, 2022

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5034948916)

📍
Updated Business Mailing Address June 13, 2022

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5034948916)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active September 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 05, 2017

Registered at 829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559 (Tel: 9075436229)

📍
Updated Business Mailing Address September 05, 2017

Registered at PO BOX 2264, BETHEL, AK 99559 (Tel: 9075456002)

👤
Provider Name / Credentials Updated September 05, 2017

Recorded as KEITH BRANNEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2017

Dentist (License #121051 in AK)

NPI Profile Active April 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2016

Registered at 0318 SW WHITAKER ST, PORTLAND, OR 972394646 (Tel: 5039701889)

📍
Updated Business Mailing Address April 15, 2016

Registered at 0318 SW WHITAKER ST, PORTLAND, OR 972394646 (Tel: 5039701889)

👤
Provider Name / Credentials Updated April 15, 2016

Recorded as KEITH BRANNEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Keith Brannen. Be the first to share your experience!

Sign in to leave a review for Keith Brannen

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1316391402
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2016
Last Update: June 13, 2022
Sole Proprietor: No

Mailing Address

3181 Sw Sam Jackson Park Rd

Portland, OR 972393011

Phone: 5034948916

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.