Brian L Prins DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIAN L PRINS DMD PC

Practice address

1390 Oleander St Ste a
Medford, OR 97504-5448

Phone

(541) 773-5441

NPI assigned

Oct 18, 2019

Organization subpart

No

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

Authorized official

Name

Brian L Prins, DMDNPI 1215297361

Title

Owner

Phone

(541) 773-5441

Specialties & licenses 1

Addresses

Other names 1

• Prins Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

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

• Brian L Prins, DMD

  • Dentist
  • Medford, OR
  • NPI 1215297361
  NPD Authorized official
• Thomas Capsey, DMD

  • Dentist
  • Medford, OR
  • NPI 1073656070
  NPD (past)

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1861035271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 OLEANDER ST STE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045448",
            "telephone_number": "541-773-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 OLEANDER ST STE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045448",
            "telephone_number": "541-773-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN L PRINS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "PRINS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-773-5441",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prins Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryelizabeth A Breton, MS, NCC
• Emily Marie Brewster, MSW, LICSW, LCSW
• Jordan Brewster, DPT
• Brian J Smith, DC
• Brian Kreul MD PC
• Bridges to Wellbeing LLC
• Laura Bridges, LCSW, QMHP
• Christopher Brignone
• Amanda Brimmer
• Travis C. Briseno, LD

• General Practice Dentistry in Medford, OR
• Providers in Medford, 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 Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.