NPIMap

Organization Active NPI

Westside Bend Smiles, LLC

Doing business as Dental Artistry Implants Crowns Veneers

  • General Practice Dentistry
  • Bend, OR
National Provider Identifier
1003733684
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WESTSIDE BEND SMILES, LLC
Doing business as
Dental Artistry Implants Crowns Veneers
Practice address
812 NW York Dr Ste 100
Bend, OR 97703-6746
Phone
(541) 200-7798
Fax
(541) 330-1430
NPI assigned
Jul 2, 2026
Last updated
Jul 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Thomas Spoonster, DDSNPI 1669894994
Title
Owner/Doctor
Phone
(541) 200-7798

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

812 NW York Dr Ste 100
Bend, OR 97703-6746

Mailing address

812 NW York Dr Ste 100
Bend, OR 97703-6746
Phone (541) 200-7798

Other names 1

  • Dental Artistry Implants Crowns Veneers Doing business as

National Provider Directory

National Provider Directory

Locations

812 NW York Dr
Ste 100
Bend, OR 97703
Phone (541) 200-7798

Practitioners & affiliated clinicians

Practitioners 2

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": "1782950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1003733684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 NW YORK DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977036746",
            "telephone_number": "541-200-7798",
            "fax_number": "541-330-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 NW YORK DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977036746",
            "telephone_number": "541-200-7798",
            "fax_number": "541-330-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE BEND SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "SPOONSTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "541-200-7798",
        "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": [
        {
            "organization_name": "Dental Artistry Implants Crowns Veneers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.