Individual provider Active NPI

Mark Tranby, DMD

  • Dentist
  • Springfield, OR
National Provider Identifier
1346490331
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9188 Issued in OR
Practice address
227 Q St
Springfield, OR 97477-2169
Phone
(541) 726-9300
Fax
(541) 726-9449
NPI assigned
Sep 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D9188 OR Primary

Addresses

Primary practice location

227 Q St
Springfield, OR 97477-2169

Mailing address

3950 Goodpasture Loop
O-341
Eugene, OR 97401-1578
Phone (503) 860-7285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151231001979 OR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9436451895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9188ORMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1346490331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 GOODPASTURE LOOP",
            "address_2": "O-341",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011578",
            "telephone_number": "503-860-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 Q ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974772169",
            "telephone_number": "541-726-9300",
            "fax_number": "541-726-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANBY",
        "first_name": "MARK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.