Organization Active NPI

Breathe Deep Dental LLC

  • Dental Clinic/Center
  • Bend, OR
National Provider Identifier
1023729969
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BREATHE DEEP DENTAL LLC
Practice address
61583 SE 27TH St
Suite TBD
Bend, OR 97702
Phone
(541) 262-6101
NPI assigned
Dec 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Dr. Sophie Rose Morrell Diepenheim, DMDNPI 1437630068
Title
Owner/Member
Phone
(541) 262-6101

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

61583 SE 27TH St
Suite TBD
Bend, OR 97702

Mailing address

548 NW Harmon Blvd
Bend, OR 97703-3022
Phone (541) 419-6567

National Provider Directory

National Provider Directory

Locations

61583 SE 27th St
Ste Tbd
Bend, OR 97702
Phone (541) 262-6101

61583 SE 27th St
Ste 170
Bend, OR 97702
Phone (541) 262-6101

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": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1023729969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 NW HARMON BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033022",
            "telephone_number": "541-419-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61583 SE 27TH ST",
            "address_2": "SUITE TBD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-262-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE DEEP DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "DIEPENHEIM",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_middle_name": "ROSE MORRELL",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "541-262-6101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 20, 2025; 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.