NPIMap

Individual provider Active NPI

Juancarlos Munoz Sr.

  • Peer Specialist
  • Hillsboro, OR
National Provider Identifier
1992177570
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
15-CRM-153 Issued in OR
Practice address
254 N 1St Ave
Hillsboro, OR 97124-3003
Phone
(503) 432-0288
NPI assigned
Oct 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 15-CRM-153 OR Primary

Addresses

Primary practice location

254 N 1St Ave
Hillsboro, OR 97124-3003

Mailing address

254 N 1St Ave
Hillsboro, OR 97124-3003
Phone (503) 432-0288

Other names 1

  • J.C. Munoz Other name

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
15-CRM-153ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Voices Set Free Past Accepting new patients
Voices Set Free Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1992177570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 N 1ST AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243003",
            "telephone_number": "503-432-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 N 1ST AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243003",
            "telephone_number": "503-432-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "JUANCARLOS",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "15-CRM-153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J.C.",
            "last_name": "MUNOZ",
            "credential": "CRM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.