NPIMap

Organization Active NPI

Southern Oregon Endodontics, PC

  • Endodontics
  • Medford, OR
National Provider Identifier
1922160589
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D7486 Issued in OR
Legal business name
SOUTHERN OREGON ENDODONTICS, PC
Practice address
2924 Siskiyou Blvd
Suite 204
Medford, OR 97504-8194
Phone
(541) 779-3324
Fax
(541) 779-3557
NPI assigned
Dec 13, 2006
Last updated
Mar 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Dr. Michael Curtis Hall, DMDNPI 1194722892
Title
Owner
Phone
(541) 779-3324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X D7486 OR Primary

Addresses

Primary practice location

2924 Siskiyou Blvd
Suite 204
Medford, OR 97504-8194

Mailing address

2924 Siskiyou Blvd
Suite 204
Medford, OR 97504-8194
Phone (541) 779-3324

National Provider Directory

National Provider Directory

Locations

2924 Siskiyou Blvd
Ste 204
Medford, OR 97504
Phone (541) 779-3324

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1922160589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 SISKIYOU BLVD",
            "address_2": "SUITE 204",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048194",
            "telephone_number": "541-779-3324",
            "fax_number": "541-779-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 SISKIYOU BLVD",
            "address_2": "SUITE 204",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048194",
            "telephone_number": "541-779-3324",
            "fax_number": "541-779-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OREGON ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-779-3324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D7486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.