DANIEL JAMES BOUTON M.D.
NPI 1386934388
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Portland, OR

Q: What is Daniel Bouton's NPI number?

The NPI number for Daniel Bouton is 1386934388. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Q: What is Daniel Bouton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Bouton was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 11, 2011PECOS Enrolled

3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 221-3424(503) 221-3490 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2021, May 17, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

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About Daniel James Bouton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL JAMES BOUTON M.D. (NPI 1386934388) is an individual pediatric orthopaedic surgery provider in Portland, Oregon, licensed in Oregon (MD183533) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1386934388

Entity TypeIndividualMale

Primary Taxonomy207XP3100X

Provider Legal NameDANIEL JAMES BOUTONCredential: M.D.

Location Address3101 SW SAM JACKSON PARK RDPortland, OR 97239-3009

Mailing AddressPo Box 8500, Lockbox 7642, Shriners Hospital For Children PortlandPhiladelphia, PA 19178-7642 · (813) 281-8115 · Fax (801) 281-8656

Phone(503) 221-3424

Fax(503) 221-3490

Sole ProprietorNo

Enumeration DateApril 11, 2011

Last NPPES UpdateFebruary 15, 20215 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2021

✔ NPI 1386934388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XP3100X

License✔ Licensed in OR · MD183533

Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD183533 (OR)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3101 SW SAM JACKSON PARK RD, Portland, OR 97239

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Secondary Practice Location 1

Location 12222 Welborn StDallas, TX 75219-3924 · Phone (214) 559-7604

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel James Bouton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEE ALAN TAYLOR MD

Anesthesiology