Active NPI
Jordan Russell Singer, DMD
- Dentist
- Medford, OR
National Provider Identifier
1528416567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10447
- Practice address
- 4411 Brown Ridge Ter
Medford, OR 97504-9139 - Phone
- (541) 200-6747
- Fax
- (541) 779-0756
- NPI assigned
- Jun 1, 2016
- Last updated
- Jun 1, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D10447 | OR | Primary |
Addresses
Primary practice location
4411 Brown Ridge Ter
Medford, OR 97504-9139
Mailing address
4411 Brown Ridge Ter
Medford, OR 97504-9139
Phone (541) 200-6747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 12, 2026 through Jan 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10447 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1528416567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 BROWN RIDGE TER",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049139",
"telephone_number": "541-200-6747",
"fax_number": "541-779-0756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 BROWN RIDGE TER",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049139",
"telephone_number": "541-200-6747",
"fax_number": "541-779-0756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGER",
"first_name": "JORDAN",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-01",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D10447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.