Joseph Jamus

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11117 Issued in OR

Practice address

5610 N Lombard St
Portland, OR 97203-4224

Phone

(503) 708-8564

NPI assigned

Jul 31, 2019

Last updated

Mar 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Tigard Modern Dentistry and Orthodontics, PC

  dba Tigard Modern Dentistry

  • General Practice Dentistry
  • Tigard, OR
  • NPI 1649640434
  NPD (past)

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1235783853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034224",
            "telephone_number": "503-708-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034224",
            "telephone_number": "503-708-8564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 NE 82nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972205607",
            "country_code": "US",
            "telephone_number": "503-254-0896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMUS",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-31",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jamieson, DNP
• Angel Nicole Jamison-Howard
• Darrian Jamison, LMHCA
• Richard Lindsay Jamison, MD
• Michael Thomas Jamond, M.D.
• Jan Corwin, DC, LLC
• Connie Jan, L.AC
• Jay C. P. Jan, MD
• Jana Ching-Lac
• Padmaja Janapareddy

• General Practice Dentistry in Portland, OR
• Providers in Portland, 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 Mar 6, 2023; 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.