Active NPI
Rachel Elizabeth Bryant, DT
- Denturist
- Medford, OR
National Provider Identifier
1265113799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DT-DO-10219707
- Practice address
- 906 Royal CT
Medford, OR 97504-6139 - Phone
- (541) 414-0519
- NPI assigned
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | DT-DO-10219707 | OR | Primary |
Addresses
Primary practice location
906 Royal CT
Medford, OR 97504-6139
Mailing address
1000 E Main St
Medford, OR 97504-7667
Phone (541) 773-3863
Other practice location 1
11160 Highway 62 Ste A
Eagle Point, OR 97524-8025
Phone (541) 500-0763
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT-DO-10219707 | OR | MD | Denturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1265113799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E MAIN ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047667",
"telephone_number": "541-773-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 ROYAL CT",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046139",
"telephone_number": "541-414-0519"
}
],
"practiceLocations": [
{
"address_1": "11160 Highway 62 Ste A",
"address_purpose": "LOCATION",
"city": "Eagle Point",
"state": "OR",
"postal_code": "975248025",
"country_code": "US",
"telephone_number": "541-500-0763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYANT",
"first_name": "RACHEL",
"middle_name": "ELIZABETH",
"credential": "DT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "OR",
"license": "DT-DO-10219707",
"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 Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.