DR. JAMES ALLEN KATANCIK DDS, PHD
NPI 1891818340
Dentist - Periodontics in Portland, OR

Q: What is James Katancik's NPI number?

The NPI number for James Katancik is 1891818340. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Q: What is James Katancik's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for James Katancik was last updated on June 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 09, 2007PECOS Enrolled

2730 SW MOODY AVE, SDPERI, PORTLAND, OR 97201(503) 494-4891 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. James Allen Katancik Dds, Phd NPPES

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

DR. JAMES ALLEN KATANCIK DDS, PHD (NPI 1891818340) is an individual periodontics provider in Portland, Oregon, licensed in Oregon (DF0025) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891818340

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. JAMES ALLEN KATANCIKCredential: DDS, PHD

Location Address2730 SW MOODY AVE, SDPERIPortland, OR 97201-5042

Mailing Address2730 Sw Moody Ave, SdperiPortland, OR 97201-5042 · (503) 494-4891

Phone(503) 494-4891

Sole ProprietorNo

Enumeration DateApril 9, 2007

Last NPPES UpdateJune 30, 2015

✔ NPI 1891818340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in OR · DF0025

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2730 SW MOODY AVE, Portland, OR 97201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Allen Katancik Dds, Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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