Ty Jaros, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10850 Issued in OR

Practice address

1775 River Rd
Eugene, OR 97404-2642

Phone

(541) 689-1287

NPI assigned

Jul 9, 2018

Last updated

Jul 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jaros & Gubrud Dental LLC

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1912855404
  NPD Authorized official
• Robert Gemmell D.M.D., P.C

  dba DistinctiveDentistry

  • Dentist
  • Eugene, OR
  • NPI 1801295324
  NPD (past)

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1720574163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042642",
            "telephone_number": "541-689-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042642",
            "telephone_number": "541-689-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAROS",
        "first_name": "TY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Janney
• Elizabeth Jansen-Byrkit
• Jessie Yael Shattan Jansen, BA, QMHA
• Rebecca Joanne West Jaquette
• Jaros & Gubrud Dental LLC
• Barry S Jarvis, M.D
• Breeana C Jarvis, LCSW, MSW
• Hannah Jarvis, MS, RD, LD
• Lakotaka Dawn Jason, CADC CANDIDATE
• Jay Y Park MD, PC

• General Practice Dentistry in Eugene, OR
• Providers in Eugene, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.