Organization Active NPI

Jaros & Gubrud Dental LLC

  • General Practice Dentistry
  • Eugene, OR
National Provider Identifier
1912855404
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JAROS & GUBRUD DENTAL LLC
Practice address
1775 River Rd
Eugene, OR 97404-2642
Phone
(541) 689-1287
NPI assigned
Mar 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Dr. Ty Derek Jaros, DDSNPI 1720574163
Title
Member
Phone
(541) 689-1287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1775 River Rd
Eugene, OR 97404-2642

Mailing address

1775 River Rd
Eugene, OR 97404-2642
Phone (541) 689-1287

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1912855404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042642",
            "telephone_number": "541-689-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042642",
            "telephone_number": "541-689-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAROS & GUBRUD DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "JAROS",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-689-1287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.