Organization Active NPI

Michael J. Devereux DDS, PC

  • Dentist
  • Eugene, OR
National Provider Identifier
1710237102
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6466 Issued in OR
Legal business name
MICHAEL J. DEVEREUX DDS, PC
Practice address
2477 Oakmont Way
Eugene, OR 97401-6460
Phone
(541) 484-1292
Fax
(541) 484-1294
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Mrs. Juli Meador
Title
Front Office
Phone
(541) 484-1292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D6466 OR Primary

Addresses

Primary practice location

2477 Oakmont Way
Eugene, OR 97401-6460

Mailing address

2477 Oakmont Way
Eugene, OR 97401-6460
Phone (541) 484-1292

National Provider Directory

National Provider Directory

Locations

2477 Oakmont Way
Eugene, OR 97401
Phone (541) 484-1292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1710237102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2477 OAKMONT WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016460",
            "telephone_number": "541-484-1292",
            "fax_number": "541-484-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2477 OAKMONT WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016460",
            "telephone_number": "541-484-1292",
            "fax_number": "541-484-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. DEVEREUX DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "MEADOR",
        "authorized_official_first_name": "JULI",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "541-484-1292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D6466",
            "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 Sep 13, 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.