David C Greenberg, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

DP00129 Issued in OR

Practice address

948 NE 102ND Ave
Suite 103
Portland, OR 97220-4064

Phone

(503) 257-8886

Fax

(503) 251-1892

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pure Healthcare of Oregon LLC

  • Multi-Specialty Clinic/Center
  • Eugene, OR
  • NPI 1821760299
  NPD (past)
• Pure Infusion of Oregon LLC

  • Multi-Specialty Clinic/Center
  • Eugene, OR
  • NPI 1053293423
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1760434674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 NE 76TH ST STE A3",
            "address_2": "PMB 7",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623901",
            "telephone_number": "503-257-8886",
            "fax_number": "503-251-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 NE 102ND AVE",
            "address_2": "SUITE 103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204064",
            "telephone_number": "503-257-8886",
            "fax_number": "503-251-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OR",
            "license": "DP00129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS",
            "identifier": "001487000",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006360",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "756480632",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16851-8",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "93075402-9722-A002",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Burton Greenbaum, D.C. LAC
• Arthur Greenberg, M.D.
• Brian Lewis Greenberg, M.D.
• Chaviva Greenberg, MSW CSWA
• Daniel Greenberg, MD
• Jonathan Amar Greenberg, MD
• Lara Greenberg, IBCLC
• Laura Hope Greenberg, MD
• Mathew Scott Greenberg, MD
• Isaac Greenblatt

• Foot Surgery Podiatrist in Portland, OR
• Providers in Portland, OR by specialty
• Foot Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.