Jed R. Norman DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

License

D8859 Issued in OR

Legal business name

JED R. NORMAN DDS LLC

Doing business as

Glide Dental

Practice address

1813 W Harvard Ave Ste 221
Roseburg, OR 97471-8704

Phone

(541) 672-6511

Fax

(541) 673-1892

NPI assigned

Jun 5, 2013

Last updated

Jun 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jed R Norman, DDSNPI 1184663718

Title

Owner/Dentist

Phone

(541) 672-6511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glide Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jed Ryan Norman, DDS

  • General Practice Dentistry
  • Roseburg, OR
  • NPI 1184663718
  NPD (past) Authorized official
• James Y Lee, DDS

  • General Practice Dentistry
  • Roseburg, OR
  • NPI 1861437873
  NPD (past)

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1902244619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 221",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718704",
            "telephone_number": "541-672-6511",
            "fax_number": "541-673-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 221",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718704",
            "telephone_number": "541-672-6511",
            "fax_number": "541-673-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JED R. NORMAN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "541-672-6511",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278647",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glide Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerald Andrew Jaworski, M.D.
• Jay N. Gade M.D., PHD., PC
• Jay N. Gade, MD, PHD, PC
• Aruna Jayaram, M.D
• Frances Lee Jeanmard, SLP
• Steven W Jeffers, MD
• Kelly A. Jenkins, RNFA
• Jennifer Ann Frost (Creekside Health and Wellness Center)
• Jennifer M. Soyke, M.D., P.C. (previously D/B/A Palliative Care Associates -- this name no longer use)
• Krista Jensen

• Dentist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.