Organization Active NPI

Deschutes Pediatric Dentistry PC

Doing business as Deschutes Pediatric Dentistry

  • Dental Clinic/Center
  • Bend, OR
National Provider Identifier
1023223732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DESCHUTES PEDIATRIC DENTISTRY PC
Doing business as
Deschutes Pediatric Dentistry
Practice address
1475 SW Chandler Ave
Suite 202
Bend, OR 97702-3238
Phone
(541) 389-9642
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven ChristensenNPI 1861497885
Title
President
Phone
(541) 389-3073

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
Dental Clinic/Center 261QD0000X OR Primary

Addresses

Primary practice location

1475 SW Chandler Ave
Suite 202
Bend, OR 97702-3238

Mailing address

1475 SW Chandler Ave
Suite 202
Bend, OR 97702-3238

Other names 1

  • Deschutes Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1475 SW Chandler Ave
Ste 202
Bend, OR 97702
Phone (541) 312-5522

Practitioners & affiliated clinicians

Practitioners 1

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023223732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 SW CHANDLER AVE",
            "address_2": "SUITE 202",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 SW CHANDLER AVE",
            "address_2": "SUITE 202",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023238",
            "telephone_number": "541-389-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESCHUTES PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-389-3073",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deschutes Pediatric Dentistry",
            "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 Aug 22, 2020; 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.