Organization Active NPI

Daniel a Radatti DDS LLC

Doing business as Deschutes Endodontics

  • Endodontics
  • Bend, OR
National Provider Identifier
1205275658
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
DANIEL A RADATTI DDS LLC
Doing business as
Deschutes Endodontics
Practice address
1250 NE 3Rd St
Ste. B-105
Bend, OR 97701-3106
Phone
(541) 617-9736
NPI assigned
Jun 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Dr. Daniel Angelo Radatti, DDSNPI 1477633840
Title
Owner
Phone
(541) 390-5415

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1250 NE 3Rd St
Ste. B-105
Bend, OR 97701-3106

Mailing address

1250 NE 3Rd St
Ste. B-105
Bend, OR 97701-3106
Phone (541) 617-9736

Other names 1

  • Deschutes Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1250 NE 3rd St
Ste 105B
Bend, OR 97701
Phone (541) 617-9736

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": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1205275658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 NE 3RD ST",
            "address_2": "STE. B-105",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013106",
            "telephone_number": "541-617-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NE 3RD ST",
            "address_2": "STE. B-105",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013106",
            "telephone_number": "541-617-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL A RADATTI DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "RADATTI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-390-5415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deschutes Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 19, 2013; 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.