Jeffrey Thayer, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D9238 Issued in OR

Practice address

440 Coburg Rd
Eugene, OR 97401-5541

Phone

(541) 879-2636

NPI assigned

Mar 15, 2012

Last updated

Sep 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1215202882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 PINE VIEW CT",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974054952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 COBURG RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015541",
            "telephone_number": "541-879-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-15",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daran Thach, PHARMD
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• Joel Thakkar, MPT
• Edward Mead Thatcher, M.S., D.M.D.
• Paul Thatcher, PA-C
• The Ananda Healing Center
• The Bennett Organization LLC (Accountable Physical Therapy)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Eugene Village)
• The Evangelical Lutheran Good Samaritan Society (Eugene Good Samaritan Home Health)
• The Eye Center LLC

• Dentist in Eugene, OR
• Providers in Eugene, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.