John G. Colasurdo D.M.D

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JOHN G. COLASURDO D.M.D

Practice address

833 SW 11TH Ave
Suite 723
Portland, OR 97205

Phone

(503) 223-7661

Fax

(503) 223-6997

NPI assigned

Oct 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. John G Colasurdo, D.M.DNPI 1427150341

Title

Owner/Dentist

Phone

(503) 223-7661

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• John Gabriel Colasurdo, DMD

  • Dentist
  • Portland, OR
  • NPI 1427150341
  NPD (past) Authorized official
• Vincent Colasurdo, D.M.D.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1013317676
  NPD (past)

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1427452085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE",
            "address_2": "SUITE 723",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97205",
            "telephone_number": "503-223-7661",
            "fax_number": "503-223-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SW 11TH AVE",
            "address_2": "SUITE 723",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97205",
            "telephone_number": "503-223-7661",
            "fax_number": "503-223-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G. COLASURDO D.M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "COLASURDO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-223-7661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Austin MD LLC
• John Bajusack DMD, PC (City Dental)
• John C. Slosberg L.a.C., PC
• John G Buckmaster MD PC
• John G Collins ND PC
• John Hardy MD LLC
• John J Oshea, MD, LLC
• John J Park LLC (NE Portland Dental)
• John L V Platt, DC PC (Woodstock Chiropractic Clinic)
• John Lenkin, LLC

• 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 Oct 13, 2014; 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.