Individual provider Active NPI

Bryce J Taylor, D.D.S

  • Endodontics
  • Medford, OR
National Provider Identifier
1699969162
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D11373 Issued in OR
Practice address
3534 Lone Pine Rd
Medford, OR 97504-5637
Phone
(541) 200-0321
NPI assigned
Aug 28, 2007
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X D11373 OR Primary

Addresses

Primary practice location

3534 Lone Pine Rd
Medford, OR 97504-5637

Mailing address

3534 Lone Pine Rd
Medford, OR 97504-5637
Phone (541) 200-0321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105001317 WI Order and Referring Only - DentistPractitioner - Dentist 0547562720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D11373ORMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Endodontics LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

3534 Lone Pine Rd
Medford, OR 97504
Phone (541) 200-0321

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.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1699969162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 LONE PINE RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045637",
            "telephone_number": "541-200-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 LONE PINE RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045637",
            "telephone_number": "541-200-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRYCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D11373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.