Active NPI
Bren Dixon, D.M.D.
- Pediatric Dentistry
- Medford, OR
National Provider Identifier
1669602777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D9739
- Practice address
- 1150 Crater Lake Ave
Suite C
Medford, OR 97504-6213 - Phone
- (541) 773-3327
- NPI assigned
- Jul 23, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 745 | FL | |
| Pediatric Dentistry | 1223P0221X | D9739 | OR | Primary |
| Dentist | 122300000X | 7983955-9923 | UT |
Addresses
Primary practice location
1150 Crater Lake Ave
Suite C
Medford, OR 97504-6213
Mailing address
1150 Crater Lake Ave Ste C
Medford, OR 97504-6213
Phone (541) 773-3327
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 745 | FL | MD | Dentist |
| 7983955-9923 | UT | MD | Dentist |
| D9739 | OR | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bren Dixon DMD LLC | Pediatric Dentistry | 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 and National Provider Directory roles.
-
- Pediatric Dentistry
- Medford, OR
- NPI 1396085221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1669602777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 CRATER LAKE AVE STE C",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046213",
"telephone_number": "541-773-3327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 CRATER LAKE AVE",
"address_2": "SUITE C",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046213",
"telephone_number": "541-773-3327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "BREN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-23",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "745",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OR",
"license": "D9739",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "7983955-9923",
"primary": false
}
],
"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 Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.