Individual provider Active NPI

Alan Laird Embry, M.D.

  • Family Medicine Physician
  • Corvallis, OR
National Provider Identifier
1073667598
Registry record updated Jun 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD22548 Issued in OR
Practice address
121 SE Viewmont Ave
Corvallis, OR 97333-1968
Phone
(541) 766-3546
Fax
(541) 766-6143
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD22548 OR Primary

Addresses

Primary practice location

121 SE Viewmont Ave
Corvallis, OR 97333-1968

Mailing address

121 SE Viewmont Ave
Corvallis, OR 97333-0579
Phone (541) 766-3546

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD22548ORMDFamily Medicine Physician
025209WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Clackamas Office of County Auditor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213488000000",
    "number": "1073667598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SE VIEWMONT AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973330579",
            "telephone_number": "541-766-3546",
            "fax_number": "541-766-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SE VIEWMONT AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331968",
            "telephone_number": "541-766-3546",
            "fax_number": "541-766-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBRY",
        "first_name": "ALAN",
        "middle_name": "LAIRD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD22548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2008; 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.