NPIMap

Organization Active NPI

David M Alex DDS PC

  • Pediatric Dentistry
  • Medford, OR
National Provider Identifier
1154711687
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D4909 Issued in OR
Legal business name
DAVID M ALEX DDS PC
Practice address
1291 E McAndrews Rd
Medford, OR 97504-6103
Phone
(541) 779-8923
Fax
(541) 779-9620
NPI assigned
Feb 5, 2015
Last updated
Feb 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Dr. David Merle Alex, DDS
Title
President
Phone
(541) 779-8923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D4909 OR Primary

Addresses

Primary practice location

1291 E McAndrews Rd
Medford, OR 97504-6103

Mailing address

1291 E McAndrews Rd
Medford, OR 97504-6103
Phone (541) 779-8923

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1154711687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 E MCANDREWS RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046103",
            "telephone_number": "541-779-8923",
            "fax_number": "541-779-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 E MCANDREWS RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046103",
            "telephone_number": "541-779-8923",
            "fax_number": "541-779-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M ALEX DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "ALEX",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MERLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-779-8923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D4909",
            "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 5, 2015; 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.