Organization Active NPI

Gerald Alan Harper, DDS, PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Eugene, OR
National Provider Identifier
1316243660
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
5382 Issued in OR
Legal business name
GERALD ALAN HARPER, DDS, PC
Practice address
2650 Suzanne Way
Suite 110
Eugene, OR 97408-7319
Phone
(541) 726-4690
Fax
(541) 741-7230
NPI assigned
Feb 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Dr. Gerald A Harper, DDS
Title
Owner
Phone
(541) 726-4690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 5382 OR Primary

Addresses

Primary practice location

2650 Suzanne Way
Suite 110
Eugene, OR 97408-7319

Mailing address

2650 Suzanne Way
Suite 110
Eugene, OR 97408-7319
Phone (541) 726-4690

Other identifiers 1

IdentifierTypeStateIssuer
018622MedicaidOR

National Provider Directory

National Provider Directory

Locations

2650 Suzanne Way
Ste 110
Eugene, OR 97408
Phone (541) 726-4690

960 N 16th St
Ste 108
Springfield, OR 97477
Phone (541) 726-4690

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": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1316243660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY",
            "address_2": "SUITE 110",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087319",
            "telephone_number": "541-726-4690",
            "fax_number": "541-741-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY",
            "address_2": "SUITE 110",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087319",
            "telephone_number": "541-726-4690",
            "fax_number": "541-741-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD ALAN HARPER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-726-4690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "5382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018622",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.