Active NPI
Westside Bend Smiles, LLC
- General Practice Dentistry
- Bend, OR
National Provider Identifier
1003733684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WESTSIDE BEND SMILES, LLC
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Spoonster, DDS
- Title
- Owner/Doctor
- Phone
- (541) 200-7798
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
812 NW York Dr
Ste 100
Bend, OR 97703
Phone (541) 200-7798
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": "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.