Daniel Bryan Root, MD

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

MD17937 Issued in OR

Practice address

2228 NW Pettygrove St
Portland, OR 97210-2608

Phone

(503) 288-5201

Fax

(503) 972-7234

NPI assigned

May 24, 2006

Last updated

Jul 13, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.root.1@20484.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20484/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oregon Sleep and Pulmonary, LLC

  dba Oregon Sleep Associates

  • Medical Specialty Clinic/Center
  • Portland, OR
  • NPI 1538298336
  NPD
• Orthopedic & Sports Medicine Center of Or LLC

  • Orthopaedic Surgery Physician
  • Scappoose, OR
  • NPI 1639596588
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1194770370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 NW PETTYGROVE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102608",
            "telephone_number": "503-288-5201",
            "fax_number": "503-972-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 NW PETTYGROVE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102608",
            "telephone_number": "503-288-5201",
            "fax_number": "503-972-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "DANIEL",
        "middle_name": "BRYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OR",
            "license": "MD17937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046016",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Root & Branch Integrative Fitness
• Root & Branch Physical Therapy LLC
• Root Whole Body Health, Inc
• Root Whole Body Health, Inc
• Andrew Root, M.S.
• Emily Ann Root, M.A.
• Leslie L Root, MD
• Mackenzie Root, PT, DPT, NCS
• Natalie Root, LSW
• Rooted Chiropractic & Wellness, LLC

• Sleep Medicine (Internal Medicine) Physician in Portland, OR
• Providers in Portland, OR by specialty
• Sleep Medicine (Internal Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.