Organization Active NPI

Foothill Endodontics LLC

  • Dental Clinic/Center
  • Medford, OR
National Provider Identifier
1255136222
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FOOTHILL ENDODONTICS LLC
Practice address
3534 Lone Pine Rd
Medford, OR 97504-5637
Phone
(541) 200-0321
NPI assigned
Feb 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Bryce Taylor, DDSNPI 1699969162
Title
Owner
Phone
(312) 925-9311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3534 Lone Pine Rd
Medford, OR 97504-5637

Mailing address

3534 Lone Pine Rd
Medford, OR 97504-5637
Phone (541) 200-0321

National Provider Directory

National Provider Directory

Locations

3534 Lone Pine Rd
Medford, OR 97504
Phone (541) 200-0321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1255136222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 LONE PINE RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045637",
            "telephone_number": "541-200-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 LONE PINE RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045637",
            "telephone_number": "541-200-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-925-9311",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Feb 14, 2025; 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.