Jeffrey D. Phelps, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7141 Issued in OR

Practice address

3225 Willamette St Ste 1
Eugene, OR 97405-3309

Phone

(541) 686-9715

Fax

(541) 686-9717

NPI assigned

Nov 5, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• PPC Group LLC

  • Primary Care Clinic/Center
  • Springfield, OR
  • NPI 1508190661
  NPD (past)
• Sanders Family Medicine, LLC

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1447095237
  NPD (past)

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851470280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 WILLAMETTE ST STE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053309",
            "telephone_number": "541-686-9715",
            "fax_number": "541-686-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 WILLAMETTE ST STE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053309",
            "telephone_number": "541-686-9715",
            "fax_number": "541-686-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JEFFREY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "7141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert H. Phaigh, LMT
• Hang D Pham, M.D.
• Pharmacy Corporation of America
• Pharmacy Express #74
• Cassidy Phelps
• Randall Alan Phelps, M.D.
• Riley Phelps, LMT
• Alex Roger Phifer
• Alicia Rae Phifer
• Tee Phifer

• Periodontics in Eugene, OR
• Providers in Eugene, OR by specialty
• Periodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.