John Bajusack DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOHN BAJUSACK DMD, PC

Practice address

511 SW 10TH Ave Ste 704
Portland, OR 97205-2708

Phone

(503) 227-2883

NPI assigned

May 24, 2023

Organization subpart

No

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

Authorized official

Name

Jenny Garcia-Rocha

Title

Credentialing Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• City Dental Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rusty Crofts Jr., DMD

  • Dentist
  • Portland, OR
  • NPI 1700456605
  NPD
• Karl S Shao, DMD

  • Dentist
  • Portland, OR
  • NPI 1366894453
  NPD
• Jason Aaron Bajuscak, D.M.D.

  • Dentist
  • Wilsonville, OR
  • NPI 1598995060

  General Practice

  NPD (past)
• Theresa Calcagno, DMD

  • Dentist
  • Portland, OR
  • NPI 1912906793
  NPD (past)

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1306538657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 704",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052708",
            "telephone_number": "503-227-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 704",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052708",
            "telephone_number": "503-227-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BAJUSACK DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Darwin Johantgen, PA-C
• Baljit Kaur Johl, PT
• John a Lindgren, MD PC
• John a McComb, DMD
• John Austin MD LLC
• John C. Slosberg L.a.C., PC
• John G Buckmaster MD PC
• John G Collins ND PC
• John G. Colasurdo D.M.D
• John Hardy MD LLC

• 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 May 24, 2023; 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.