Active NPI
Nicole S Tasooji DMD LLC
- General Practice Dentistry
- Bend, OR
National Provider Identifier
1073426359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NICOLE S TASOOJI DMD LLC
- Practice address
- 1475 SW Chandler Ave Ste 201
Bend, OR 97702-3240 - Phone
- (458) 214-8691
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 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
- Dr. Nicole Sarah Tasooji, DMD
- Title
- Doctor/Owner
- Phone
- (858) 349-7111
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1475 SW Chandler Ave Ste 201
Bend, OR 97702-3240
Mailing address
1475 SW Chandler Ave Ste 201
Bend, OR 97702-3240
Phone (458) 214-8691
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.
-
- Dentist
- Los Angeles, CA
- NPI 1649768615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1073426359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 SW CHANDLER AVE STE 201",
"city": "BEND",
"state": "OR",
"postal_code": "977023240",
"telephone_number": "458-214-8691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 SW CHANDLER AVE STE 201",
"city": "BEND",
"state": "OR",
"postal_code": "977023240",
"telephone_number": "458-214-8691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLE S TASOOJI DMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "TASOOJI",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "SARAH",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "858-349-7111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"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 Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.