Organization Active NPI

Bruce P. Mitchell, DMD, PC

  • General Practice Dentistry
  • Medford, OR
National Provider Identifier
1669293551
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRUCE P. MITCHELL, DMD, PC
Doing business as
Bruce Mitchell Family Dentistry
Practice address
3560 National Dr Ste 102
Medford, OR 97504-4008
Phone
(541) 773-3959
NPI assigned
Oct 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Bella Zaritsky
Title
Director
Phone
(480) 482-1070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3560 National Dr Ste 102
Medford, OR 97504-4008

Mailing address

3560 National Dr Ste 102
Medford, OR 97504-4008
Phone (541) 773-3959

Other names 1

  • Bruce Mitchell Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3560 National Dr
Ste 102
Medford, OR 97504
Phone (541) 773-3959

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1669293551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 NATIONAL DR STE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044008",
            "telephone_number": "541-773-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 NATIONAL DR STE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044008",
            "telephone_number": "541-773-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE P. MITCHELL, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "ZARITSKY",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-482-1070"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruce Mitchell Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 23, 2024; 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.