Active NPI
Elahe Khodabandeh, DMD
- Dentist
- Eugene, OR
National Provider Identifier
1700713393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D12326
- Practice address
- 341 E 12TH Ave
Eugene, OR 97401-3275 - Phone
- (541) 342-8255
- NPI assigned
- May 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | D12326 | OR | |
| Dentist | 122300000X | D12326 | OR | Primary |
Addresses
Primary practice location
341 E 12TH Ave
Eugene, OR 97401-3275
Mailing address
341 E 12TH Ave
Eugene, OR 97401-3275
Phone (541) 342-8255
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 |
|---|---|---|---|
| D12326 | OR | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1700713393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 E 12TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013275",
"telephone_number": "541-342-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 E 12TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013275",
"telephone_number": "541-342-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHODABANDEH",
"first_name": "ELAHE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-06",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "OR",
"license": "D12326",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D12326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.