NPIMap

Organization Active NPI

Craig P. Greenberg, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Portland, OR
National Provider Identifier
1821286543
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD15850 Issued in OR
Legal business name
CRAIG P. GREENBERG, M.D.
Practice address
10101 SE Main St
Suite 3012
Portland, OR 97216-2455
Phone
(503) 255-3404
Fax
(503) 255-4750
NPI assigned
Oct 9, 2007
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Craig Phillip Greenberg, M.D.NPI 1326154329
Title
Physician
Phone
(503) 255-3404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD15850 OR Primary

Addresses

Primary practice location

10101 SE Main St
Suite 3012
Portland, OR 97216-2455

Mailing address

10101 SE Main St
Suite 3012
Portland, OR 97216-2455
Phone (503) 255-3404

National Provider Directory

National Provider Directory

Locations

10101 SE Main St
Ste 3012
Portland, OR 97216
Phone (503) 225-3404

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1821286543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST",
            "address_2": "SUITE 3012",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162455",
            "telephone_number": "503-255-3404",
            "fax_number": "503-255-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST",
            "address_2": "SUITE 3012",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162455",
            "telephone_number": "503-255-3404",
            "fax_number": "503-255-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG P. GREENBERG, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-255-3404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OR",
            "license": "MD15850",
            "primary": true
        }
    ],
    "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 Nov 6, 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.