Jovan M Gvozden, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8856 Issued in OR

Practice address

10535 NE Glisan St
Portland, OR 97220-4077

Phone

(503) 444-8181

NPI assigned

Apr 6, 2006

Last updated

Dec 30, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jovan M Gvozden Professional name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1841252517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 NE 20TH AVE STE 2204",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866413",
            "telephone_number": "360-571-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204077",
            "telephone_number": "503-444-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GVOZDEN",
        "first_name": "JOVAN",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOVAN",
            "last_name": "GVOZDEN",
            "middle_name": "M",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Heather Anne Guzman, DMD
• Jessica Guzman, RN
• Marquita Guzman
• Rodrigo Guzman
• Taylor Guzman, CSWA
• Tuyet Lam Gwardys, NP
• Amy Burke Gwartney, LMT #20514
• Shannon Marie Gwartney, NP
• Gwenn Cody, LCSW, PC
• Sharon Wardy Gwilliam, RDH

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.