Active NPI
Joseph Michael Mozena, D.P.M.
- Podiatrist
- Portland, OR
National Provider Identifier
1538339395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 154
- Practice address
- 2227 NE Hancock St
Portland, OR 97212-4873 - Phone
- (503) 282-8235
- NPI assigned
- Mar 8, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 154 | OR | Primary |
| Podiatrist | 213E00000X | 329 | WA | |
| Podiatrist | 213E00000X | E3266 | CA |
Addresses
Primary practice location
2227 NE Hancock St
Portland, OR 97212-4873
Mailing address
2227 NE Hancock St
Portland, OR 97212-4873
Phone (503) 282-8235
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 |
|---|---|---|---|
| E3266 | CA | MD | Podiatrist |
| 154 | OR | MD | Podiatrist |
| 329 | WA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204934400000",
"number": "1538339395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 NE HANCOCK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972124873",
"telephone_number": "503-282-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2227 NE HANCOCK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972124873",
"telephone_number": "503-282-8235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOZENA",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-08",
"last_updated": "2008-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OR",
"license": "154",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "329",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E3266",
"primary": false
}
],
"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 Mar 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.