Organization Active NPI

Cascade Endodontic Group LLC

  • Endodontics
  • Bend, OR
National Provider Identifier
1265698351
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D8211 Issued in OR
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

Updated by the provider on Jul 29, 2008

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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X D8211 OR Primary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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

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.

Verify at the official NPI Registry.