Shevlin Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHEVLIN DENTAL CENTER

Practice address

910 SW Simpson Ave
Bend, OR 97702-3117

Phone

(541) 382-8575

Fax

(541) 382-8681

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Debbi Smith

Title

Office Manager

Phone

(541) 382-8575

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Henry L. Boni, D.M.D.

  • General Practice Dentistry
  • Bend, OR
  • NPI 1952405243
  NPD (past)
• David A Cauble, DMD

  • General Practice Dentistry
  • Bend, OR
  • NPI 1679689053
  NPD (past)
• Matthew Allen Falkenstein, D.D.S.

  • Dentist
  • Bend, OR
  • NPI 1275625402
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174639579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SW SIMPSON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023117",
            "telephone_number": "541-382-8575",
            "fax_number": "541-382-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SW SIMPSON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023117",
            "telephone_number": "541-382-8575",
            "fax_number": "541-382-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEVLIN DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEBBI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-382-8575"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Rebecca Sherer, MD
• Kevin E Sherer, MD
• William Daniel Sherfield, CRM
• Pema Lhamu Sherpa, R.D.H
• Sean Patrick Sherry, DDS
• Lauren Beth Shields, AGACNP-BC, DNP
• Shift Bend Functional Medicine
• Terry Shih, M.D.
• Tracy Ann Shinkle, R.PH.
• Kathleen Shipley, MA

• General Practice Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.