Individual provider Active NPI

Jackson T Dempsey, MD

  • Psychiatry Physician
  • Medford, OR
National Provider Identifier
1174678312
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD15946 Issued in OR
Practice address
328 S Central Ave
Ste 206
Medford, OR 97501-7274
Phone
(541) 890-6841
Fax
(541) 482-4841
NPI assigned
Jan 25, 2007
Last updated
Jan 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD15946 OR Primary

Addresses

Primary practice location

328 S Central Ave
Ste 206
Medford, OR 97501-7274

Mailing address

328 S Central Ave
Ste 206
Medford, OR 97501-7274
Phone (541) 646-8382

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
MD15946ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Josephine County Past Accepting new patients
Synthesis Mind/Body LLC Psychiatry Past Accepting new patients

Organizations & group practices 3

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1174678312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 S CENTRAL AVE",
            "address_2": "STE 206",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017274",
            "telephone_number": "541-646-8382",
            "fax_number": "541-482-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S CENTRAL AVE",
            "address_2": "STE 206",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017274",
            "telephone_number": "541-890-6841",
            "fax_number": "541-482-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMPSEY",
        "first_name": "JACKSON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD15946",
            "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 Jan 16, 2018; 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.