Organization Active NPI

Jacob O. Layer, DMD, PC

  • Dental Clinic/Center
  • Medford, OR
National Provider Identifier
1962640771
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D8284 Issued in OR
Legal business name
JACOB O. LAYER, DMD, PC
Practice address
1485 E McAndrews Rd
Medford, OR 97504-6107
Phone
(541) 734-0970
Fax
(541) 734-2081
NPI assigned
Feb 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Dr. Jacob O Layer, DMD
Title
President
Phone
(541) 734-0970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D8284 OR Primary

Addresses

Primary practice location

1485 E McAndrews Rd
Medford, OR 97504-6107

Mailing address

1485 E McAndrews Rd
Medford, OR 97504-6107
Phone (541) 734-0970

Other names 1

  • Jacob O. Layer Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

1485 E McAndrews Rd
Medford, OR 97504
Phone (541) 734-0970

Practitioners & affiliated clinicians

Practitioners 1

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": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1962640771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 E MCANDREWS RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046107",
            "telephone_number": "541-734-0970",
            "fax_number": "541-734-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 E MCANDREWS RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046107",
            "telephone_number": "541-734-0970",
            "fax_number": "541-734-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB O. LAYER, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "LAYER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-734-0970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacob O. Layer Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 2, 2009; 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.