Active NPI
Cascade Endodontic Group LLC
- Endodontics
- Bend, OR
National Provider Identifier
1265698351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D8211
- Legal business name
- CASCADE ENDODONTIC GROUP LLC
- Practice address
- 1590 NE Williamson Blvd
Bend, OR 97701-6071 - Phone
- (541) 388-1500
- Fax
- (541) 388-6995
- NPI assigned
- Jul 29, 2008
- 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
- Elizabeth Edmunds
- Title
- Practice Manager
- Phone
- (541) 388-1500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | D8211 | OR | Primary |
| Endodontics | 1223E0200X | D8490 | OR |
Addresses
Primary practice location
1590 NE Williamson Blvd
Bend, OR 97701-6071
Mailing address
1590 NE Williamson Blvd
Bend, OR 97701-6071
Phone (541) 388-1500
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Bend, OR
- NPI 1528637485
-
- Endodontics
- Santa Rosa, CA
- NPI 1639237084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217289600000",
"number": "1265698351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 NE WILLIAMSON BLVD",
"city": "BEND",
"state": "OR",
"postal_code": "977016071",
"telephone_number": "541-388-1500",
"fax_number": "541-388-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 NE WILLIAMSON BLVD",
"city": "BEND",
"state": "OR",
"postal_code": "977016071",
"telephone_number": "541-388-1500",
"fax_number": "541-388-6995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASCADE ENDODONTIC GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-29",
"last_updated": "2008-07-29",
"status": "A",
"authorized_official_last_name": "EDMUNDS",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "541-388-1500"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "OR",
"license": "D8211",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "OR",
"license": "D8490",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
- Cascade Center for Plastic & Recon Surgery
- Cascade Child and Family Center
- Cascade Compounding Center LLC
- Cascade Counseling and Family Services
- Cascade Crest Transitions
- Cascade Foot Clinic
- Cascade Hand Therapy Inc
- Cascade Healthcare Community
- Cascade Healthcare Community
- Cascade Healthcare Community Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.