John D Mozena, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

158 Issued in OR

Practice address

8305 SE Monterey
Ste 101
Portland, OR 97266-7728

Phone

(503) 652-1121

Fax

(503) 652-2193

NPI assigned

Nov 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1861673980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 SE MONTEREY",
            "address_2": "STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972667728",
            "telephone_number": "503-652-1121",
            "fax_number": "503-652-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 SE MONTEREY",
            "address_2": "STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972667728",
            "telephone_number": "503-652-1121",
            "fax_number": "503-652-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZENA",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OR",
            "license": "158",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "OR",
            "license": "158",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OR",
            "license": "158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146910",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Moylan, LCSW
• Steven Gabriel Moylan, DO
• Rachel Moyles, OTR/L
• Bethany Jean Lane Moyses, O.D.
• Roma Moza, MD
• Joseph Michael Mozena, D.P.M.
• Dana Wendy Mozer, FNP
• Wesli Mozil
• MPKM, LLC
• Nayade Irina Mrak, MD

• Foot Surgery Podiatrist in Portland, OR
• Providers in Portland, OR by specialty
• Foot Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.