Individual provider Active NPI

James Clifton Garbarino, LD

  • Denturist
  • Portland, OR
National Provider Identifier
1568529998
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
D7D0714779 Issued in OR
Practice address
1933 SW Jefferson
Willamette Dental GR
Portland, OR 97224
Phone
(503) 644-6444
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X D7D0714779 OR Primary
Denturist 122400000X DN00000218 WA

Addresses

Primary practice location

1933 SW Jefferson
Willamette Dental GR
Portland, OR 97224

Mailing address

6950 NE Campus Way
Willamette Dental GR
Hillsboro, OR 97124-5611
Phone (503) 952-2164

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

LicenseStateTypeSpecialty
D7D0714779ORMDDenturist
DN00000218WAMDDenturist

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568529998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 NE CAMPUS WAY",
            "address_2": "WILLAMETTE DENTAL GR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245611",
            "telephone_number": "503-952-2164",
            "fax_number": "503-526-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 SW JEFFERSON",
            "address_2": "WILLAMETTE DENTAL GR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97224",
            "telephone_number": "503-644-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBARINO",
        "first_name": "JAMES",
        "middle_name": "CLIFTON",
        "credential": "LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "OR",
            "license": "D7D0714779",
            "primary": true
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000218",
            "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 Jul 8, 2007; 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.