Active NPI
Rogue Valley Family Dentistry Medford LLC
- General Practice Dentistry
- Medford, OR
National Provider Identifier
1235686817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D9399
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ryan Reed Bailey, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Coos Bay, OR
- NPI 1144450453
-
- General Practice Dentistry
- Medford, OR
- NPI 1710063565
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
- Rogue Therapy
- Rogue Valley Childrens Physicians (Children and Adolescents Clinic)
- Rogue Valley Dental Center
- Rogue Valley Dental Center LLC
- Rogue Valley Doulas, LLC
- Rogue Valley Family Practice, PC
- Rogue Valley Foot Clinic P.C.
- Rogue Valley Health & Wellness LLC
- Rogue Valley in Home Care Inc.
- Rogue Valley Manor (Rogue Valley Manor Pharmacy)
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.