Individual provider Active NPI

Adam Bahr, DDS

  • Pediatric Dentistry
  • Grants Pass, OR
National Provider Identifier
1902265440
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D11819 Issued in OR
Practice address
124 NE Evelyn Ave Ste B
Grants Pass, OR 97526-1427
Phone
(541) 916-8484
NPI assigned
Feb 11, 2016
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D11819 OR Primary
Pediatric Dentistry 1223P0221X 33984 TX

Addresses

Primary practice location

124 NE Evelyn Ave Ste B
Grants Pass, OR 97526-1427

Mailing address

3503 Carnelian St
Medford, OR 97504-4224
Phone (801) 592-5021

Other practice location 1

4341 Tudor Centre Dr
Anchorage, AK 99508-5904
Phone (907) 729-6527

Other practice location 2

9902 McPherson Rd Ste 25
Laredo, TX 78045
Phone (956) 725-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D11819ORMDPediatric Dentist
33984TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
James Kolby Robinson, DMD Pediatric Dentistry PastSince Apr 20, 2025 Accepting new patients
Tots to Teens Orthodontics Pediatric Dentistry Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1902265440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 CARNELIAN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044224",
            "telephone_number": "801-592-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NE EVELYN AVE STE B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261427",
            "telephone_number": "541-916-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4341 Tudor Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085904",
            "country_code": "US",
            "telephone_number": "907-729-6527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9902 McPherson Rd Ste 25",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "78045",
            "country_code": "US",
            "telephone_number": "956-725-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHR",
        "first_name": "ADAM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-11",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D11819",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "33984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.