Active NPI
Adam Bahr, DDS
- Pediatric Dentistry
- Grants Pass, OR
National Provider Identifier
1902265440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D11819
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D11819 | OR | MD | Pediatric Dentist |
| 33984 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Kolby Robinson, DMD | Pediatric Dentistry | Past | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Laredo, TX
- NPI 1619398278
Pediatric Dentistry
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.