DAVID C GREENBERG (NPI# 1760434674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760434674 |
| Entity Type | Individual |
| Full Name | DAVID C GREENBERG |
| Credential | D.P.M. |
| Practice Address |
948 Ne 102nd Ave Suite 103 Portland OR 97220-4064 |
| Mailing Address |
11500 Ne 76th St Ste A3 Pmb 7 Vancouver WA 98662-3901 |
| Practice Telephone | 5032578886 |
| Practice Fax Number | 5032511892 |
| Mailing Telephone | 5032578886 |
| Mailing Fax Number | 5032511892 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2014-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
DP00129 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | REGENCE BLUE CROSS | 001487000 | 01 |
| WA | 1006360 | 05 | |
| OR | 16851-8 | 05 | |
| OR | TRICARE | 93075402-9722-A002 | 01 |
| OR | MEDICARE RAILROAD | 756480632 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447234 | David Paul Greenberg | Pediatrics | 1 Discovery Dr Bldg 60, Swiftwater, PA 18370-9100 | 2018-08-21 |
| 1336481225 | David Alan Greenberg | Psychiatry & Neurology | 456 Moll Ct, Sonoma, CA 95476-6707 | 2013-03-19 |
| 1699817627 | David Bruce Greenberg | Dentist | 8208 Grubb Rd, Chevy Chase, MD 20815-3022 | 2007-02-13 |
| 1265572358 | David G Greenberg | Family Medicine | 810 W Bethany Home Rd, Phoenix, AZ 85013-1654 | 2007-02-07 |
| 1881700607 | David D Greenberg | Orthopaedic Surgery | 3635 Vista Ave, St. Louis University, 7th Floor Desloge Towers, Dept of Orthopaedic Surgery, St. Louis, MO 63110 | 2006-08-22 |
| 1184634529 | David Barry Greenberg | Psychologist | 100 Woodberry Ln, Fayetteville, NY 13066-1746 | 2006-08-08 |
| 1871537803 | David I Greenberg | Internal Medicine | 215 S Parkside Dr, Suite 215, Colorado Springs, CO 80910-3131 | 2006-06-16 |
| 1003896408 | David M Greenberg | Family Medicine | 274 Iron King, Durango, CO 81301-9417 | 2006-01-20 |
| 1598114753 | David Greenberg | Registered Nurse | 10700 Macarthur Blvd, 14b, Oakland, CA 94605-5298 | 2016-06-08 |
| 1477871184 | David Elihu Greenberg | Internal Medicine | 5323 Harry Hines Blvd, Mail Stop 9113, Dallas, TX 75390-7201 | 2010-05-06 |
| Street Address |
948 NE 102ND AVE SUITE 103 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538526942 | Treatment Services Northwest LLC | Community/Behavioral Health | 948 Ne 102nd Ave, Suite 101, Portland, OR 97220-4064 | 2016-01-15 |
| 1275910598 | Ana Vives Barreto | Dentist | 948 Ne 102nd Ave, Suite # 105, Portland, OR 97220-4064 | 2015-05-06 |
| 1912336140 | Nancy Lee Macklin | Counselor | 948 Ne 102nd Ave, Ste 101, Portland, OR 97220-4064 | 2013-11-07 |
| 1104078476 | Greg L. Kirchem | Chiropractor | 948 Ne 102nd Ave, Suite 106, Portland, OR 97220-4064 | 2008-10-17 |
| 1467519868 | Roy Creager Lusch | Dentist | 948 Ne 102nd Ave, Suite 105, Portland, OR 97220-4064 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992942064 | Lester Tengsico LLC | Podiatrist | 10424 Se Cherry Blossom Dr Ste F, Portland, OR 97216-2825 | 2009-01-12 |
| 1811006596 | Joshua P Mitnick | Podiatrist | 8305 Se Monterey Ave., #101, Portland, OR 97266 | 2006-08-29 |
| 1134102320 | Steven Gary Tillett | Podiatrist | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | 2005-11-22 |
| 1063595817 | Richard Steinmetz | Podiatrist | 980 Forest Ave, Ste 102, Portland, ME 04103-3357 | 2006-10-23 |
| 1780650408 | Robert S Juris | Podiatrist | 68 Marginal Way, 4th Fllor, Portland, ME 04101-2444 | 2006-02-23 |
| 1881669836 | Danforth S Desena | Podiatrist | 68 Marginal Way, 4th Floor, Portland, ME 04101-2444 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083991400 | Larry D Jensen Dpm PC | Podiatrist | 11815 Sw King James Pl, Suite 60, Tigard, OR 97224-2478 | 2011-11-14 |
| 1346347432 | Brian Douglas Ashdown | Podiatrist | 2605 Willetta St Sw Ste D2, Albany, OR 97321-3451 | 2006-09-20 |
| 1356452247 | Stephen Fekete | Podiatrist | 29756 Sw Town Center Loop W Ste H, Wilsonville, OR 97070-6482 | 2006-08-31 |
| 1851383269 | Larry Dean Jensen | Podiatrist | 11815 Sw King James Place, Suite 60, Tigard, OR 97224 | 2005-08-22 |
| 1790295228 | Clarke Podiatry, LLC | Podiatrist | 113 S Main St, Milton Freewater, OR 97862-1342 | 2017-10-11 |
| 1518146984 | Patricia Eileen Cain | Podiatrist | 1510 Division St, Suite 80, Oregon City, OR 97045-1581 | 2007-11-01 |
| 1891980546 | Southern Oregon Foot & Ankle, LLC | Podiatrist | 1904 E Barnett Rd, Medford, OR 97504-8262 | 2007-09-06 |
| 1740335728 | Darrin Lee Dallegge | Podiatrist | 330 S Garden Way, Suite 350, Eugene, OR 97401-8176 | 2007-01-23 |
| 1639260318 | Joseph David Neary | Podiatrist | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-09-27 |
| 1295849206 | Michael Jackson Matthews | Podiatrist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.