Individual provider Active NPI

Joshua Aaron Bezecny, DO

  • Dermatology Physician
  • Salem, OR
National Provider Identifier
1447555016
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DO218517 Issued in OR
Practice address
1793 13TH St SE
Salem, OR 97302-2541
Phone
(866) 599-3376
NPI assigned
Jan 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X TL.0009385 CO
Physician Assistant 363A00000X PA175899 OR
Physician Assistant 363A00000X PA0003147 CO
Dermatology Physician 207N00000X DO218517 OR Primary

Addresses

Primary practice location

1793 13TH St SE
Salem, OR 97302-2541

Mailing address

10099 Ridgegate Pkwy Ste 200
Lone Tree, CO 80124-5532
Phone (720) 225-4466

Other practice location 1

12650 W 64th Ave
Unit E501
Arvada, CO 80004-3893
Phone (303) 431-4127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110610000582 CO Practitioner - Physician Assistant 3870770217 Reassigns benefits to 1 organization
I20160222001260 OR Practitioner - Physician Assistant 3870770217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

State licenses

LicenseStateTypeSpecialty
DO218517ORMDDermatology Physician
TL.0009385COMDGeneral Practice Physician
PA0003147COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Falls Dermatology, LLC Dermatology CurrentSince Jul 5, 2023 Accepting new patients

Locations

1390 Waverly Dr SE
Albany, OR 97322
Phone (541) 967-8385

1390 Waverly Dr SE
Ste 100
Albany, OR 97322

375 Park Ave
Ste 5
Coos Bay, OR 97420
Phone (541) 267-7543

2358 NW Kings Blvd
Ste 100
Corvallis, OR 97330
Phone (541) 368-5986

920 Country Club Rd
Ste 140A
Eugene, OR 97401
Phone (665) 993-3768

831 NW Council Dr
Ste 301
Gresham, OR 97030
Phone (503) 661-2577

375 SE Norton Ln
Ste C
McMinnville, OR 97128
Phone (503) 472-8162

904 SW Bay St
Newport, OR 97365
Phone (541) 683-2020

1010 SW Coast Hwy
Ste 201
Newport, OR 97365
Phone (541) 257-6393

1793 13th St SE
Salem, OR 97302
Phone 50336283851283

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1447555016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY STE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245532",
            "telephone_number": "720-225-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1793 13TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022541",
            "telephone_number": "866-599-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12650 W 64th Ave",
            "address_2": "Unit E501",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800043893",
            "country_code": "US",
            "telephone_number": "303-431-4127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEZECNY",
        "first_name": "JOSHUA",
        "middle_name": "AARON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-12",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "TL.0009385",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA175899",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0003147",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "DO218517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.