NPIMap

Organization Active NPI

Barry & Erickson, LLC

  • General Practice Dentistry
  • Medford, OR
National Provider Identifier
1659641504
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6059 Issued in OR
Legal business name
BARRY & ERICKSON, LLC
Practice address
906 Royal CT
Medford, OR 97504-6139
Phone
(541) 779-2634
Fax
(541) 779-3282
NPI assigned
Jan 10, 2012
Last updated
Jan 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Dr. Anne G Barry, DMDNPI 1972599140
Title
Owner/Dentist
Phone
(541) 779-2634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9139 OR
General Practice Dentistry 1223G0001X 9158 OR
General Practice Dentistry 1223G0001X 6059 OR Primary

Addresses

Primary practice location

906 Royal CT
Medford, OR 97504-6139

Mailing address

906 Royal CT
Medford, OR 97504-6139
Phone (541) 779-2634

National Provider Directory

National Provider Directory

Locations

906 Royal Ct
Medford, OR 97504
Phone (541) 414-0519

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1659641504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 ROYAL CT",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046139",
            "telephone_number": "541-779-2634",
            "fax_number": "541-779-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 ROYAL CT",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046139",
            "telephone_number": "541-779-2634",
            "fax_number": "541-779-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY & ERICKSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "541-779-2634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "9139",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "9158",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6059",
            "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 Jan 10, 2012; 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.