NPIMap

Organization Active NPI

Gary E Dehm DMD , PC

  • General Practice Dentistry
  • Bend, OR
National Provider Identifier
1124424890
Registry record updated Nov 7, 2014
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8737 Issued in OR
Legal business name
GARY E DEHM DMD , PC
Practice address
515 NE 4TH St
Bend, OR 97701-4955
Phone
(541) 382-0414
Fax
(541) 382-9469
NPI assigned
Nov 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Dr. Gary E Dehm, DMD
Title
Owner
Phone
(541) 382-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8737 OR Primary

Addresses

Primary practice location

515 NE 4TH St
Bend, OR 97701-4955

Mailing address

515 NE 4TH St
Bend, OR 97701-4955
Phone (541) 382-0414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1124424890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014955",
            "telephone_number": "541-382-0414",
            "fax_number": "541-382-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014955",
            "telephone_number": "541-382-0414",
            "fax_number": "541-382-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY E DEHM DMD , PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "DEHM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-382-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "8737",
            "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 Nov 7, 2014; 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.