Active NPI
Desert Bone & Joint Specialists LLP
Doing business as Desert Orthopedics
- Orthopaedic Surgery Physician
- Bend, OR
National Provider Identifier
1235267303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- DESERT BONE & JOINT SPECIALISTS LLP
- Doing business as
- Desert Orthopedics
- Practice address
- 1303 NE Cushing Dr Ste 100
Bend, OR 97701-3887 - Phone
- (541) 388-2333
- Fax
- (541) 388-0930
- NPI assigned
- Mar 1, 2007
- Last updated
- Aug 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaci Williams
- Title
- Authorized Official
- Phone
- (541) 388-2333
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | |||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | |||
| Orthopaedic Trauma Physician | 207XX0801X | |||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | |||
| Pediatric Orthopaedic Surgery Physician | 207XP3100X |
Addresses
Primary practice location
1303 NE Cushing Dr Ste 100
Bend, OR 97701-3887
Mailing address
1303 NE Cushing Dr Ste 100
Bend, OR 97701-3887
Phone (541) 388-2333
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1158800001 | Other | OR | DME |
| 1457851586 | Other | OR | NPI |
| 1518468644 | Other | OR | NPI |
| 149991 | Medicaid | OR | |
| 192931300 | Other | OR | OWCP |
Other names 1
- Desert Orthopedics
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Pain Medicine Physician
- Bend, OR
- NPI 1568452589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535500800000",
"number": "1235267303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 NE CUSHING DR STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977013887",
"telephone_number": "541-388-2333",
"fax_number": "541-388-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 NE CUSHING DR STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977013887",
"telephone_number": "541-388-2333",
"fax_number": "541-388-0930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT BONE & JOINT SPECIALISTS LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2018-08-29",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KACI",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "541-388-2333"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "1158800001",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1457851586",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1518468644",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149991",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "192931300",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Desert Orthopedics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Desert Orthopedics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bend, OR
- Deschutes Rheumatology, LLC (Medix Infusion)
- Deschutes Surgery Center, LLC
- Deschutes Veterinary Services, P.C.
- Deschuttes County Health Dept.
- Desert Bloom Counseling and Wellness Collective LLC
- Desert Bone & Joint Specialists LLP (Desert Orthopedics)
- Andrea Desha, LPC
- Julia Anne Deskin
- Brian Patrick Desmond, MD
- Theresa M Desouza, CADCII, QHMA-I
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.