Active NPI
David Alan McCarron
- Nephrology Physician
- Portland, OR
National Provider Identifier
1386074953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD10925
- Practice address
- 120 NW 9TH Ave
Suite 206
Portland, OR 97209-3324 - Phone
- (503) 957-0511
- NPI assigned
- Nov 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD10925 | OR | Primary |
Addresses
Primary practice location
120 NW 9TH Ave
Suite 206
Portland, OR 97209-3324
Mailing address
120 NW 9TH
Suite 206
Portland, OR 97209
Phone (503) 957-0511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10925 | OR | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1386074953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 NW 9TH",
"address_2": "SUITE 206",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97209",
"telephone_number": "503-957-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 NW 9TH AVE",
"address_2": "SUITE 206",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972093324",
"telephone_number": "503-957-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARRON",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-19",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OR",
"license": "MD10925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.