Active NPI
Eugene V Meyerding Jr., DMD
- Dentist
- Medford, OR
National Provider Identifier
1578630109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5641
- Practice address
- 2940 Siskiyou Blvd
Medford, OR 97504-8161 - Phone
- (541) 779-5654
- NPI assigned
- Nov 29, 2006
- Last updated
- Sep 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 5641 | OR | Primary |
Addresses
Primary practice location
2940 Siskiyou Blvd
Medford, OR 97504-8161
Mailing address
2940 Siskiyou Blvd
Medford, OR 97504-8161
Phone (541) 779-5654
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugene V. Meyerding Jr., DMD, PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Medford, OR
- NPI 1275901688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1578630109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 SISKIYOU BLVD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048161",
"telephone_number": "541-779-5654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 SISKIYOU BLVD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048161",
"telephone_number": "541-779-5654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERDING",
"first_name": "EUGENE",
"middle_name": "V",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "5641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
- Gordon Metz, M.D.
- Christopher Paisley Meyer, PMHNP-BC
- Elena Carrie Meyer, MS, LPC, NCC
- Joshua Daniel Meyer, RN
- Meyerding Surgical Associates Inc
- Jennifer Miatke, MA, LPC, MDIV, CADCI
- Michael F Oconnell PHD (Rogue Valley Psychological Associates)
- Michael Rulon, M.D., L.L.C.
- Philip Fred Michael, M.D.
- Denna Margaret Michail, PSS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.