Joseph Max Pelz, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D4764 Issued in OR

Practice address

2075 SW First Ave
Ste. 2M
Portland, OR 97201-5314

Phone

(503) 226-6659

NPI assigned

Aug 1, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Sam El-Ebrashi, BDS, Ms, PC

  • Prosthodontics
  • Portland, OR
  • NPI 1083963243
  NPD (past)

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1255687802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6473 SE NORMA CIR",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972675183",
            "telephone_number": "503-659-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SW FIRST AVE",
            "address_2": "STE. 2M",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015314",
            "telephone_number": "503-226-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELZ",
        "first_name": "JOSEPH",
        "middle_name": "MAX",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D4764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonietta Rose Pelsuo
• Skye J Peltier, PA
• Monte C Pelto, CADCII
• Grace Pelton
• Rebecca Ann Dondlinger Pelton, MSN, PMHNP-BC
• Kyzen Pemberton, LMT
• Tara Pemberton, PA-C
• Winter Lynn Pemberton, LMT
• Sovann Dara Pen, L.P.C.
• Daniel Alexandro Pena Sanchez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.