NPIMap

Organization Active NPI

Eugene V. Meyerding Jr., DMD, PC

  • Dentist
  • Medford, OR
National Provider Identifier
1275901688
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5641 Issued in OR
Legal business name
EUGENE V. MEYERDING JR., DMD, PC
Practice address
2940 Siskiyou Blvd
Medford, OR 97504-8161
Phone
(541) 779-5654
Fax
(541) 779-6909
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Dr. Eugene V. Meyerding Jr., DMDNPI 1578630109
Title
President
Phone
(541) 779-5654

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5641 OR Primary

Addresses

Primary practice location

2940 Siskiyou Blvd
Medford, OR 97504-8161

Mailing address

2940 Siskiyou Blvd
Medford, OR 97504-8161
Phone (541) 779-5654

National Provider Directory

National Provider Directory

Locations

2940 Siskiyou Blvd
Medford, OR 97504
Phone (541) 779-5654

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": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1275901688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 SISKIYOU BLVD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048161",
            "telephone_number": "541-779-5654",
            "fax_number": "541-779-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 SISKIYOU BLVD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048161",
            "telephone_number": "541-779-5654",
            "fax_number": "541-779-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE V. MEYERDING JR., DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "MEYERDING",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-779-5654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "5641",
            "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 2, 2015; 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.