Active NPI
Rodney Sadayoshi Katayama, DDS
- General Practice Dentistry
- Warrenton, OR
National Provider Identifier
1629194832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D8667
- Practice address
- 65 N Highway 101
Suite 212
Warrenton, OR 97146-9371 - Phone
- (503) 325-2031
- NPI assigned
- Mar 21, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D8667 | OR | Primary |
Addresses
Primary practice location
65 N Highway 101
Suite 212
Warrenton, OR 97146-9371
Mailing address
65 N. Hwy 101
Suite 212
Warrenton, OR 97146
Phone (503) 325-2031
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 |
|---|---|---|---|
| D8667 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1629194832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 N. HWY 101",
"address_2": "SUITE 212",
"city": "WARRENTON",
"state": "OR",
"postal_code": "97146",
"telephone_number": "503-325-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 N HIGHWAY 101",
"address_2": "SUITE 212",
"city": "WARRENTON",
"state": "OR",
"postal_code": "971469371",
"telephone_number": "503-325-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATAYAMA",
"first_name": "RODNEY",
"middle_name": "SADAYOSHI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D8667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.