Organization Active NPI

Nicholas P Caba DMD LLC

  • General Practice Dentistry
  • Woodburn, OR
National Provider Identifier
1760569206
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6263 Issued in OR
Legal business name
NICHOLAS P CABA DMD LLC
Practice address
1018 N Boones Ferry Rd
Woodburn, OR 97071-0212
Phone
(503) 981-1841
Fax
(503) 981-7334
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Nicholas Caba
Title
Owner
Phone
(503) 981-1841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D6263 OR Primary

Addresses

Primary practice location

1018 N Boones Ferry Rd
Woodburn, OR 97071-0212

Mailing address

PO Box 212
Woodburn, OR 97071-0212
Phone (503) 981-1841

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1760569206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970710212",
            "telephone_number": "503-981-1841",
            "fax_number": "503-981-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 N BOONES FERRY RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970710212",
            "telephone_number": "503-981-1841",
            "fax_number": "503-981-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS P CABA DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "CABA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-981-1841"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.