Organization Active NPI

Rogue Valley Family Dentistry Medford LLC

  • General Practice Dentistry
  • Medford, OR
National Provider Identifier
1235686817
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9399 Issued in OR
Legal business name
ROGUE VALLEY FAMILY DENTISTRY MEDFORD LLC
Practice address
801 E Main St
Medford, OR 97504-7169
Phone
(541) 773-4073
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Dr. Ryan Reed Bailey, DDSNPI 1144450453
Title
MBR
Phone
(541) 269-5353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D9399 OR Primary

Addresses

Primary practice location

801 E Main St
Medford, OR 97504-7169

Mailing address

1250 Thompson Road
Coos Bay, OR 97420-2538
Phone (541) 269-5353

National Provider Directory

National Provider Directory

Locations

801 E Main St
Medford, OR 97504
Phone (541) 773-4073

Practitioners & affiliated clinicians

Practitioners 2

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": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1235686817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 THOMPSON ROAD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202538",
            "telephone_number": "541-269-5353",
            "fax_number": "541-266-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047169",
            "telephone_number": "541-773-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE VALLEY FAMILY DENTISTRY MEDFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "541-269-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9399",
            "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 Sep 1, 2016; 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.