Active NPI
Jeb Stuart Andrus, DMD
- General Practice Dentistry
- Eugene, OR
National Provider Identifier
1104911411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D8815
- Practice address
- 2457 Oakmont Way
Eugene, OR 97401 - Phone
- (541) 484-2046
- Fax
- (253) 968-5919
- NPI assigned
- Oct 3, 2006
- Last updated
- Oct 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D8815 | OR | Primary |
Addresses
Primary practice location
2457 Oakmont Way
Eugene, OR 97401
Mailing address
2457 Oakmont Way
Eugene, OR 97401
Phone (541) 484-2046
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8815 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugene Dental Partners | Current | Accepting new patients |
Locations
2457 Oakmont Way
Eugene, OR 97401
Phone (541) 225-5214
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1104911411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2457 OAKMONT WAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-484-2046",
"fax_number": "253-968-5919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2457 OAKMONT WAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-484-2046",
"fax_number": "253-968-5919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRUS",
"first_name": "JEB",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D8815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.