Bend Children'S Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BEND CHILDREN'S DENTISTRY, LLC

Practice address

2190 NE Professional CT Ste 200
Bend, OR 97701-6985

Phone

(541) 907-1611

NPI assigned

Nov 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Blake Field, DDSNPI 1154645471

Title

Owner

Phone

(949) 228-2123

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Blake Field, D.D.S.

  • Pediatric Dentistry
  • Bend, OR
  • NPI 1154645471
  NPD Authorized official

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1013674548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 NE PROFESSIONAL CT STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 NE PROFESSIONAL CT STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016985",
            "telephone_number": "541-907-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND CHILDREN'S DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-228-2123",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Bend Anesthesiology Group, PC
• Bend Arbor, LLC
• Bend Birth Center LLC
• Bend Care Connection
• Bend Center for Integrative Health and Wellness LLC
• Bend Chiropractic and Wellness
• Bend Chiropractic Clinic, PC
• Bend Counseling & Biofeedback, Inc.
• Bend Dental Care, PC
• Bend Dermatology Clinic LLC

• Pediatric Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.