Individual provider Active NPI

Paul E Dart, MD

  • General Practice Physician
  • Eugene, OR
National Provider Identifier
1063589323
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14335 Issued in OR
Practice address
3495 Harris Street
Eugene, OR 97405-4248
Phone
(541) 484-7202
Fax
(541) 484-7415
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 14335 OR
General Practice Physician 208D00000X 14335 OR Primary

Addresses

Primary practice location

3495 Harris Street
Eugene, OR 97405-4248

Mailing address

3495 Harris Street
Eugene, OR 97405-4248
Phone (541) 484-7202

Other identifiers 1

IdentifierTypeStateIssuer
157701OtherORDMAP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114000739 OR Practitioner - Osteopathic Manipulative Medicine 5890984215 Practice locations: Eugene, OR

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Mayo Medical School, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3495 Harris St
Eugene, OR 97405-4248
Phone (541) 484-7202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14335ORMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1063589323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 HARRIS STREET",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974054248",
            "telephone_number": "541-484-7202",
            "fax_number": "541-484-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 HARRIS STREET",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974054248",
            "telephone_number": "541-484-7202",
            "fax_number": "541-484-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DART",
        "first_name": "PAUL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OR",
            "license": "14335",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OR",
            "license": "14335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMAP",
            "identifier": "157701",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.