Active NPI
Joshua Aaron Bezecny, DO
- Dermatology Physician
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- DO218517
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.65 of 100
- Promoting interoperability
- 89
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO218517 | OR | MD | Dermatology Physician |
| TL.0009385 | CO | MD | General Practice Physician |
| PA0003147 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Falls Dermatology, LLC | Dermatology | Current | 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.
-
- Dermatology Physician
- Salem, OR
- NPI 1134375421
-
- Family Medicine Physician
- Arvada, CO
- NPI 1306946728
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.