| NPI | 1265644306 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-05-03 |
| Last Updated | 2023-03-07 |
| Mailing Address | 700 Ne Multnomah St, Suite 840 Portland, OR 97232-2131 United States Phone: (503) 232-4488 | Fax: (503) 239-4075 📍 View Map |
| Primary Practice Address | 700 Ne Multnomah St, Suite 840 Portland, OR 97232-2131 United States Phone: (503) 232-4488 | Fax: (503) 239-4075 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OR | 159012 | - |
| Other (non-Medicare) | OR | D6611 | STATE OF OREGON DENTAL |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 1223S0112X – Dentist, Oral and Maxillofacial Surgery | OR | D6611 |
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About NPI 1265644306
John G. Bozich D.M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1265644306. The primary specialty listed is Dentist, Oral and Maxillofacial Surgery. The provider is located in Portland, OR. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-05-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1265644306?
NPI 1265644306 belongs to John G. Bozich D.M.D., a Dentist, Oral and Maxillofacial Surgery in Portland, OR. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1265644306 active?
The current status of NPI 1265644306 in the NPPES registry is Active. The record was last updated on 2023-03-07.
What specialty is NPI 1265644306?
NPI 1265644306 is classified under the taxonomy Dentist, Oral and Maxillofacial Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1265644306?
You can verify NPI 1265644306 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1265644306?
The primary practice address on file for NPI 1265644306 is 700 Ne Multnomah St, Portland, OR 97232-2131. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1265644306 issued?
NPI 1265644306 was first issued (enumerated) on 2007-05-03. The NPPES record was last updated on 2023-03-07.
Practice Location Map
John G. Bozich is located at 700 Ne Multnomah St, Portland, OR. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as John G. Bozich. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1265644306. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist, Oral and Maxillofacial Surgery | D6611 | OR |