Active NPI
Nichole Alexandria Pilakowski, DVM
- Veterinarian
- Carlton, OR
National Provider Identifier
1801155320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 6158
- Practice address
- 230 S Pine St
Carlton, OR 97111-1169 - Phone
- (503) 852-7009
- Fax
- (503) 852-6662
- NPI assigned
- May 4, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 6158 | OR | Primary |
Addresses
Primary practice location
230 S Pine St
Carlton, OR 97111-1169
Mailing address
PO Box 18
Carlton, OR 97111-0018
Phone (503) 852-7009
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 |
|---|---|---|---|
| 6158 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336089600000",
"number": "1801155320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18",
"city": "CARLTON",
"state": "OR",
"postal_code": "971110018",
"telephone_number": "503-852-7009",
"fax_number": "503-852-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 S PINE ST",
"city": "CARLTON",
"state": "OR",
"postal_code": "971111169",
"telephone_number": "503-852-7009",
"fax_number": "503-852-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILAKOWSKI",
"first_name": "NICHOLE",
"middle_name": "ALEXANDRIA",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-04",
"last_updated": "2012-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "OR",
"license": "6158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.