Dr John D Mozena DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

158 Issued in OR

Legal business name

DR JOHN D MOZENA DPM PC

Doing business as

Town Center Foot Clinic

Practice address

8305 SE Monterey Ave Ste 101
Portland, OR 97266-7728

Phone

(503) 652-1121

Fax

(503) 652-2193

NPI assigned

Apr 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John D Mozena, DPM

Title

Owner

Phone

(503) 652-1121

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Town Center Foot Clinic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1114048667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 SE MONTEREY AVE STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972667728",
            "telephone_number": "503-652-1121",
            "fax_number": "503-652-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 SE MONTEREY AVE STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972667728",
            "telephone_number": "503-652-1121",
            "fax_number": "503-652-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN D MOZENA DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "MOZENA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-652-1121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241805",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town Center Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Elise Schroeder
• Dr Frances V Verzosa MD PC
• Dr Hernandezwolfe
• Dr Herscher ND PC
• Dr James V Frohnmayer DMD PC (Portsmouth Dental Care)
• Dr Kevin Yurkish DC Ms LLC
• Dr Lisa Shaver
• Dr Patricia Clark
• Dr Siegel LLC
• Dr Stephen Besser DC Inc (Back Pain Relief Center)

• Podiatrist in Portland, OR
• Providers in Portland, OR by specialty
• Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.