Individual provider Active NPI

Brian Theodore Work, DMD

  • General Practice Dentistry
  • Eugene, OR
National Provider Identifier
1447259635
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6569 Issued in OR
Practice address
1045 Willagillespie Rd
#225
Eugene, OR 97401
Phone
(541) 747-8272
Fax
(541) 741-4841
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D6569 OR Primary

Addresses

Primary practice location

1045 Willagillespie Rd
#225
Eugene, OR 97401

Mailing address

1045 Willagillespie Rd
#225
Eugene, OR 97401-6798
Phone (541) 747-8272

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

LicenseStateTypeSpecialty
D6569ORMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1447259635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 WILLAGILLESPIE RD",
            "address_2": "#225",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016798",
            "telephone_number": "541-747-8272",
            "fax_number": "541-741-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 WILLAGILLESPIE RD",
            "address_2": "#225",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-747-8272",
            "fax_number": "541-741-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORK",
        "first_name": "BRIAN",
        "middle_name": "THEODORE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6569",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 23, 2011; 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.