Derek James Bevans DMD

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DEREK JAMES BEVANS DMD

Practice address

721 Country Club Rd
Eugene, OR 97401-6008

Phone

(541) 686-1199

Fax

(541) 686-3033

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Derek James Bevans, DMDNPI 1932188406

Title

Dentist

Phone

(541) 686-1199

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek James Bevans, DMD

  • Dentist
  • Eugene, OR
  • NPI 1932188406
  NPD (past) Authorized official
• Lindy Kathleen Stockwell, RDH

  • Dental Hygienist
  • Eugene, OR
  • NPI 1942988589
  NPD (past)

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1033484332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 COUNTRY CLUB RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016008",
            "telephone_number": "541-686-1199",
            "fax_number": "541-686-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 COUNTRY CLUB RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016008",
            "telephone_number": "541-686-1199",
            "fax_number": "541-686-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK JAMES BEVANS DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "BEVANS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-686-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denture Care
• Denture Masters of Eugene
• Jodi Depaoli, M.A., L.P.C.
• Debra Depew
• Alicia Cristina Derby, L.AC.
• Melissa Derhak, LPN
• Brock Anthony Derrick
• Noora Derrington-Via, LMT
• Kristen Ann Desilets
• Richard Earl Desmond Jr., M.S. QMHP

• Dentist in Eugene, OR
• Providers in Eugene, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.