Dr. Serena Autumn Waterworth-West , DMD
Dentist - General Practice β’ Gresham, OR
387 Ne 223rd Ave
Gresham, OR 970308554
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
387 Ne 223rd Ave
Gresham, OR 970308554
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019β2025.
NPI first issued
2024
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Waterworth-West has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Waterworth-West as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Gresham and Oregon
40 active clinicians are listed under Dentist - General Practice with a practice address in Gresham, OR (1,894 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Gresham
0% of these 40 clinicians have the CMS telehealth indicator.
0% of these 40 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-05-12NUCC Taxonomy Code: 1223G0001X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSORDER AND REFERRING ONLY - DENTIST
I20250815003258
OR
5799284808
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dentist
Doctor of Dental Medicine
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Dentist
Doctor of Dental Medicine
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as SERENA WATERWORTH-WEST, DMD
NPI status registered as active in NPPES database
Registered at 387 NE 223RD AVE, GRESHAM, OR 970308554 (Tel: 5034915450)
Registered at 1268 NE 186TH DR, PORTLAND, OR 972307127 (Tel: 5035300609)
Recorded as SERENA WATERWORTH, DMD
Dentist (license number reported to NPPES: OR D12035)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Dentist - General Practices in Gresham
- Dr. Isaac Hanset, DMD
- Dr. Scott Hansen, DMD
- Dr. Robin Kwon, DDS
- Dr. Gary White, DMD
- Dr. Sandra Bennett, DMD
- Dr. Bradley Fuller, DDS
Mailing Address
1268 Ne 186th Dr
Portland, OR 972307127
Phone: 5035300609