Active NPI
Nicholas P Caba, DMD
- Dentist
- Woodburn, OR
National Provider Identifier
1003801564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D6263
- Practice address
- 1018 N Boones Ferry Rd
Woodburn, OR 97071-9602 - Phone
- (503) 981-1841
- Fax
- (503) 981-7334
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D6263 | OR | Primary |
Addresses
Primary practice location
1018 N Boones Ferry Rd
Woodburn, OR 97071-9602
Mailing address
1018 N Boones Ferry Rd
PO Box 212
Woodburn, OR 97071-9602
Phone (503) 981-1841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1003801564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 N BOONES FERRY RD",
"address_2": "PO BOX 212",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970719602",
"telephone_number": "503-981-1841",
"fax_number": "503-981-7334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 N BOONES FERRY RD",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970719602",
"telephone_number": "503-981-1841",
"fax_number": "503-981-7334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABA",
"first_name": "NICHOLAS",
"middle_name": "P",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D6263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodburn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.