Organization Active NPI

Anne H Dennehy DDS

  • Pediatric Dentistry
  • Medford, OR
National Provider Identifier
1962777193
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ANNE H DENNEHY DDS
Practice address
801 E Main St Ste 101
Medford, OR 97504-7169
Phone
(541) 245-6648
Fax
(541) 245-6647
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Mrs. Anne H Dennehy, DDSNPI 1427058296
Title
Dr
Phone
(541) 245-6648

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

801 E Main St Ste 101
Medford, OR 97504-7169

Mailing address

801 E Main St Ste 101
Medford, OR 97504-7169
Phone (541) 245-6648

National Provider Directory

National Provider Directory

Locations

801 E Main St
Ste 101
Medford, OR 97504
Phone (541) 245-6648

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": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1962777193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E MAIN ST STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047169",
            "telephone_number": "541-245-6648",
            "fax_number": "541-245-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E MAIN ST STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047169",
            "telephone_number": "541-245-6648",
            "fax_number": "541-245-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE H DENNEHY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "DENNEHY",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "541-245-6648",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "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 21, 2012; 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.