Individual provider Active NPI

Donald Ray Dexter Jr., DMD

  • Dentist
  • Eugene, OR
National Provider Identifier
1902965569
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6474 Issued in OR
Practice address
2911 Tennyson Ave Ste 203
Eugene, OR 97408-4393
Phone
(541) 844-1517
Fax
(541) 844-1370
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6474 OR Primary

Addresses

Primary practice location

2911 Tennyson Ave Ste 203
Eugene, OR 97408-4393

Mailing address

2911 Tennyson Ave Ste 203
Eugene, OR 97408-4393
Phone (541) 844-1517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 31, 2024 through Oct 31, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6474ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dexter Creative Industries LLC CurrentSince Apr 9, 2024 Accepting new patients

Locations

2911 Tennyson Ave
Ste 203
Eugene, OR 97408
Phone (541) 844-1517

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1902965569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 TENNYSON AVE STE 203",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974084393",
            "telephone_number": "541-844-1517",
            "fax_number": "541-844-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 TENNYSON AVE STE 203",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974084393",
            "telephone_number": "541-844-1517",
            "fax_number": "541-844-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "DONALD",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "6474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.