Active NPI
Martin J. Mehr, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Salem, OR
National Provider Identifier
1174520548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- D5821
- Practice address
- 120 Ramsgate SQ S
Suite 110
Salem, OR 97302-5868 - Phone
- (503) 371-6000
- Fax
- (503) 363-8340
- NPI assigned
- Jun 30, 2005
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D5821 | OR | Primary |
Addresses
Primary practice location
120 Ramsgate SQ S
Suite 110
Salem, OR 97302-5868
Mailing address
120 Ramsgate SQ S
Suite 110
Salem, OR 97302-5868
Phone (503) 371-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227199 | Medicaid | OR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allan Steven Mehr | Past | Accepting new patients | |
| Jev a. Clark, DMD, MD, LLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Audiologist-Hearing Aid Fitter
- Salem, OR
- NPI 1306961297
-
- Oral and Maxillofacial Surgery (Dentist)
- Salem, OR
- NPI 1831686468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1174520548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 RAMSGATE SQ S",
"address_2": "SUITE 110",
"city": "SALEM",
"state": "OR",
"postal_code": "973025868",
"telephone_number": "503-371-6000",
"fax_number": "503-363-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 RAMSGATE SQ S",
"address_2": "SUITE 110",
"city": "SALEM",
"state": "OR",
"postal_code": "973025868",
"telephone_number": "503-371-6000",
"fax_number": "503-363-8340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHR",
"first_name": "MARTIN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "OR",
"license": "D5821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227199",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.