Joshua Robert Opperman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8812 Issued in OR

Practice address

13023 SE 84TH Ave Ste a
Clackamas, OR 97015-9798

Phone

(503) 353-9992

Fax

(503) 513-0747

NPI assigned

Sep 2, 2006

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

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205938016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 NE 20TH AVE STE 2204",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866413",
            "telephone_number": "360-571-8181",
            "fax_number": "360-573-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13023 SE 84TH AVE STE A",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159798",
            "telephone_number": "503-353-9992",
            "fax_number": "503-513-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPERMAN",
        "first_name": "JOSHUA",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie Oltmans, MD
• Linda Darling Onheiber, PA-C
• Hirohisa Ono, M.D.
• Mariko April Ono
• Joshua Oppenheim, PA-C
• Oregon Alf, LLC
• Oregon CVS Pharmacy LLC
• Oregon CVS Pharmacy LLC
• Oregon Pedorthic Services Inc.
• Elise Ortman, CADC-R

• General Practice Dentistry in Clackamas, OR
• Providers in Clackamas, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.