Katherine Stahrr, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10310 Issued in OR

Practice address

901 NW Carlon Ave
Suite #1
Bend, OR 97703-2636

Phone

(541) 389-1884

NPI assigned

Apr 5, 2014

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• BDG Dental LLC

  • Public Health Dentistry
  • Bend, OR
  • NPI 1184289845
  NPD (past) Authorized official

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

{
    "created_epoch": "1396656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1215355359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NW CARLON AVE",
            "address_2": "SUITE #1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032636",
            "telephone_number": "541-389-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NW CARLON AVE",
            "address_2": "SUITE #1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032636",
            "telephone_number": "541-389-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHRR",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-05",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Stafford, PT, DPT
• Richard A. Stagliano, MD
• Shawndi L Stahl, PT, MPT, NCS
• Joyce G Stahly, OT, CHT
• Michael L Stahly, FNP
• Cathy Anne Staley, L.M.T.
• James Davidson Stalker, M.S.W
• Donna L Stancil, LAC
• Standing Tall Chiropractic, Inc.
• Breana Judith Stanford

• All providers in Bend, OR
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.