Active NPI
Joseph Vincent Califano, DDS, PHD
- Periodontics
- Portland, OR
National Provider Identifier
1053533745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- D10187
- Practice address
- 2730 SW Moody Ave
Mail Code SD-Peri
Portland, OR 97201-5042 - Phone
- (503) 346-4772
- Fax
- (503) 494-8351
- NPI assigned
- May 3, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | D10187 | OR | Primary |
Addresses
Primary practice location
2730 SW Moody Ave
Mail Code SD-Peri
Portland, OR 97201-5042
Mailing address
2730 SW Moody Ave
Mail Code SD-Peri
Portland, OR 97201-5042
Phone (503) 346-4772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053533745 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Virginia Commonwealth Univ School of Dentistry, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1851 Macgregor Downs Rd
Greenville, NC 27834-5925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10187 | OR | MD | Periodontist |
| 9252 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina University | Current | Accepting new patients | |
| East Carolina University | Current | Accepting new patients |
Locations
1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Greenville, NC
- NPI 1972551919
-
- Internal Medicine Physician
- Greenville, NC
- NPI 1043260474
-
- Dentist
- Greenville, NC
- NPI 1669750014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1053533745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 SW MOODY AVE",
"address_2": "MAIL CODE SD-PERI",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015042",
"telephone_number": "503-346-4772",
"fax_number": "503-494-8351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 SW MOODY AVE",
"address_2": "MAIL CODE SD-PERI",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015042",
"telephone_number": "503-346-4772",
"fax_number": "503-494-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALIFANO",
"first_name": "JOSEPH",
"middle_name": "VINCENT",
"credential": "DDS, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OR",
"license": "D10187",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1053533745",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.