Active NPI
Mitchell Scott Saunders, DMD
- General Practice Dentistry
- Bend, OR
National Provider Identifier
1194583260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D12183
- Practice address
- 2215 NW Shevlin Park Rd Ste 110
Bend, OR 97703-7108 - Phone
- (541) 610-3270
- NPI assigned
- Mar 12, 2024
- Last updated
- Jul 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D12183 | OR | Primary |
Addresses
Primary practice location
2215 NW Shevlin Park Rd Ste 110
Bend, OR 97703-7108
Mailing address
2515 NW Crossing Dr
Bend, OR 97703-6974
Phone (864) 395-2021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D12183 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blake Drew DMD, PC | General Practice | Current | Accepting new patients |
Locations
2215 NW Shevlin Park Rd
Ste 110
Bend, OR 97703
Phone (541) 610-3270
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1194583260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 NW CROSSING DR",
"city": "BEND",
"state": "OR",
"postal_code": "977036974",
"telephone_number": "864-395-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 NW SHEVLIN PARK RD STE 110",
"city": "BEND",
"state": "OR",
"postal_code": "977037108",
"telephone_number": "541-610-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNDERS",
"first_name": "MITCHELL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-12",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D12183",
"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 Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.