Individual provider Active NPI

Matt Gebhardt, D.D.S, MS, PC

  • Endodontics
  • Medford, OR
National Provider Identifier
1043470479
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D9060 Issued in OR
Practice address
831 Alder Creek Dr
Medford, OR 97504-8900
Phone
(541) 776-7640
Fax
(541) 776-7640
NPI assigned
Jun 10, 2008
Last updated
Feb 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X D9060 OR Primary

Addresses

Primary practice location

831 Alder Creek Dr
Medford, OR 97504-8900

Mailing address

3537 Cherry LN
Medford, OR 97504-9228
Phone (541) 776-7640

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D9060ORMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771113600000",
    "number": "1043470479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 CHERRY LN",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049228",
            "telephone_number": "541-776-7640",
            "fax_number": "541-776-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 ALDER CREEK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048900",
            "telephone_number": "541-776-7640",
            "fax_number": "541-776-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBHARDT",
        "first_name": "MATT",
        "name_prefix": "Dr.",
        "credential": "D.D.S, MS, PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D9060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2026; 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.