Individual provider Active NPI

Veronika Buliga

  • Denturist
  • Portland, OR
National Provider Identifier
1841642287
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DT-DO-10177649 Issued in OR
Practice address
6842 SE 66TH Ave
Portland, OR 97206-7449
Phone
(971) 274-9695
NPI assigned
Jul 11, 2016
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X DT-DO-10177649 OR Primary

Addresses

Primary practice location

6842 SE 66TH Ave
Portland, OR 97206-7449

Mailing address

6842 SE 66TH Ave
Portland, OR 97206-7449
Phone (971) 274-9695

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

LicenseStateTypeSpecialty
DT-DO-10177649ORMDDenturist

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1841642287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6842 SE 66TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972067449",
            "telephone_number": "971-274-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 SE 66TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972067449",
            "telephone_number": "971-274-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULIGA",
        "first_name": "VERONIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "OR",
            "license": "DT-DO-10177649",
            "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 Jul 11, 2016; 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.