Bradley Blake Field, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D9958 Issued in OR

Practice address

2190 NE Professional CT Ste 200
Bend, OR 97701-6985

Phone

(541) 907-1611

Fax

(541) 617-0336

NPI assigned

Mar 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bend Children'S Dentistry, LLC

  • Pediatric Dentistry
  • Bend, OR
  • NPI 1013674548
  NPD Authorized official
• Eugene Kids' Dentist, LLC

  • Pediatric Dentistry
  • Eugene, OR
  • NPI 1366738858
  NPD (past)
• Newberg Kids Dentist LLC

  • Dental Clinic/Center
  • Newberg, OR
  • NPI 1154746758
  NPD (past)
• Oregon Family Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Eugene, OR
  • NPI 1467900241
  NPD (past)
• Springfield Kids Dentist LLC

  • Pediatric Dentistry
  • Springfield, OR
  • NPI 1831603018
  NPD (past)

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1154645471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 NE PROFESSIONAL CT STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016985",
            "telephone_number": "541-907-1611",
            "fax_number": "541-617-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 NE PROFESSIONAL CT STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016985",
            "telephone_number": "541-907-1611",
            "fax_number": "541-617-0336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2502 E Portland Rd",
            "address_purpose": "LOCATION",
            "city": "Newberg",
            "state": "OR",
            "postal_code": "971321923",
            "country_code": "US",
            "telephone_number": "503-538-4289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5895 Main St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974786961",
            "country_code": "US",
            "telephone_number": "541-654-4996",
            "fax_number": "541-790-2338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2565 NE Butler Market Rd",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977011587",
            "country_code": "US",
            "telephone_number": "541-317-1887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4122 Quest Dr",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974028768",
            "country_code": "US",
            "telephone_number": "541-844-1667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELD",
        "first_name": "BRADLEY",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-15",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "61251",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D9958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monty Jay Fetch, MA COUNSELING PSYCH
• Kevin Michael Fickenscher Sr., M.D.
• Laura Beth Fieberg, LMT
• Nathan Fiedler, LPC
• Anna P Field
• Lisa Field, DNP
• Debra Jan Fields, R.N.
• Travis D Fields
• Anthony J Fillmore, MD
• Francine Filzen, LMFT, ATR

• Pediatric Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.