Domani Medical LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DOMANI MEDICAL LLC

Practice address

685 SE 3Rd St
Bend, OR 97702-1754

Phone

(541) 516-4099

NPI assigned

May 28, 2026

Organization subpart

Yes

Parent organization

BESTCARE TREATMENT SERVICES INCAs reported in NPPES

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

Authorized official

Name

Wendy Rengo Boone, BOONE

Title

Chief Financial Officer

Phone

(541) 516-4099

Specialties & licenses 1

Addresses

Part of

Bestcare Treatment Services Inc

Locations

Practitioners 1

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

• Marc Grayson Lewis, RN, BSN, CARN, QMHP

  • Registered Nurse
  • Bend, OR
  • NPI 1538779301
  NPD (past)

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1023949955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1710",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560516",
            "telephone_number": "541-516-4099",
            "fax_number": "541-516-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 SE 3RD ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021754",
            "telephone_number": "541-516-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMANI MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BESTCARE TREATMENT SERVICES INC",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "RENGO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-516-4099",
        "authorized_official_credential": "BOONE"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert William Dolan, PA-C
• Colin Alfred Dole, DMD
• Anna Marie Dolezal, M.D.
• Thomas Dolezal
• Rebecca Ann Dolf, QMHA
• Lori A Domarchuk, PT
• Kevin Dombey
• Tiffany Dominguez
• Michael James Donley, MD
• David A Donnelly, M.D.

• Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Clinic/Center in Oregon

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