Jeremy Claassen, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

D10655 Issued in OR

Practice address

906 Royal CT
Medford, OR 97504

Phone

(541) 414-0519

Fax

(541) 842-7774

NPI assigned

Jul 15, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jclaassen215727@direct.ochin.org

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1316177199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 ROYAL COURT",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-414-0519",
            "fax_number": "541-842-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 ROYAL CT",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-414-0519",
            "fax_number": "541-842-7774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 West 3rd Street",
            "address_purpose": "LOCATION",
            "city": "Dorris",
            "state": "CA",
            "postal_code": "96023",
            "country_code": "US",
            "telephone_number": "530-397-3188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAASSEN",
        "first_name": "JEREMY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "OR",
            "license": "D10655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227698",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Edmund Cink, M.D.
• Meaghan Cirlincione, MD
• Damaris N Cisneros
• Alyssa Cissney
• Magdalena Ciurlik, MD
• Jonathan Michael Claassen, MD
• Jacqueline Rose Clair-Horn, O.D.
• Leslie Elizabeth Claridge Town
• Clarity Behavioral Medicine LLC
• Bryan Bret Clark

• Public Health Dentistry in Medford, OR
• Providers in Medford, OR by specialty
• Public Health Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.