NPIMap

Individual provider Active NPI

Megan Jean Dory, M.D.

  • Pediatric Adolescent Medicine Physician
  • Reno, NV
National Provider Identifier
1114217502
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
16307 Issued in NV
Practice address
645 N Arlington Ave Ste 620
Reno, NV 89503-4444
Phone
(775) 329-2525
Fax
(775) 348-0740
NPI assigned
Apr 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD167058 OR
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Adolescent Medicine Physician 2080A0000X 16307 NV Primary

Addresses

Primary practice location

645 N Arlington Ave Ste 620
Reno, NV 89503-4444

Mailing address

645 N Arlington Ave
Ste 620
Reno, NV 89503
Phone (775) 329-2525

Other practice location 1

15455 NW Greenbrier Pkwy
Ste 111
Beaverton, OR 97006-7374
Phone (503) 531-3434

Other identifiers 1

IdentifierTypeStateIssuer
500654512MedicaidOR

Other names 1

  • Dr. Megan Jean Bailey Former name

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
MD167058ORMDPediatrics Physician
16307NVMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renown Regional Medical Center Past Accepting new patients
Metropolitan Pediatrics, LLC Pediatrics Past Accepting new patients
Zucker Horsley Tatem Althoff Professional Corp Pediatrics Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients

Organizations & group practices 4

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": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1114217502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE",
            "address_2": "STE 620",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89503",
            "telephone_number": "775-329-2525",
            "fax_number": "775-348-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE STE 620",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034444",
            "telephone_number": "775-329-2525",
            "fax_number": "775-348-0740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15455 NW Greenbrier Pkwy",
            "address_2": "Ste 111",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970067374",
            "country_code": "US",
            "telephone_number": "503-531-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORY",
        "first_name": "MEGAN",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD167058",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NV",
            "license": "16307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500654512",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BAILEY",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.