Active NPI
John Barrows Chenoweth, M.D.
- Child & Adolescent Psychiatry Physician
- Portland, OR
National Provider Identifier
1912116013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD24495
- Practice address
- 5410 S.W. Macadam Ave
Ste 200
Portland, OR 97239-3825 - Phone
- (503) 222-0773
- Fax
- (503) 222-2568
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD24495 | OR | Primary |
Addresses
Primary practice location
5410 S.W. Macadam Ave
Ste 200
Portland, OR 97239-3825
Mailing address
5410 S.W. Macadam Ave
Ste 200
Portland, OR 97239-3825
Phone (503) 222-0773
Other names 1
- Dr. John B. Chenoweth
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912116013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 S.W. MACADAM AVE",
"address_2": "STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393825",
"telephone_number": "503-222-0773",
"fax_number": "503-222-2568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 S.W. MACADAM AVE",
"address_2": "STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393825",
"telephone_number": "503-222-0773",
"fax_number": "503-222-2568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENOWETH",
"first_name": "JOHN",
"middle_name": "BARROWS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OR",
"license": "MD24495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "CHENOWETH",
"middle_name": "B.",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 8, 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.