Organization Active NPI

Heather Campbell DMD LLC

  • Dental Clinic/Center
  • Redmond, OR
National Provider Identifier
1154068211
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HEATHER CAMPBELL DMD LLC
Practice address
3818 SW 21St St Ste 202
Redmond, OR 97756-6802
Phone
(541) 923-5927
NPI assigned
May 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Dr. Heather Campbell, DMDNPI 1073102281
Title
Owner
Phone
(541) 923-5927

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3818 SW 21St St Ste 202
Redmond, OR 97756-6802

Mailing address

20350 Tumalo Rd
Bend, OR 97703-8483
Phone (503) 939-9419

Other names 1

  • Coppertop Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3818 SW 21st St
Ste 202
Redmond, OR 97756
Phone (541) 923-5927

Practitioners & affiliated clinicians

Practitioners 3

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": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1154068211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20350 TUMALO RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977038483",
            "telephone_number": "503-939-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 SW 21ST ST STE 202",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977566802",
            "telephone_number": "541-923-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER CAMPBELL DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-923-5927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coppertop Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.