Individual provider Active NPI

Krista Ciarra Schulte, DMD

  • Dentist
  • Bend, OR
National Provider Identifier
1275010670
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11875 Issued in OR
Practice address
2381 NE Conners Ave
Bend, OR 97701-6068
Phone
(541) 678-6262
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D11875 OR Primary

Addresses

Primary practice location

2381 NE Conners Ave
Bend, OR 97701-6068

Mailing address

20887 Gateway Dr
Bend, OR 97702-3675
Phone (970) 394-4763

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250630000753 OR Order and Referring Only - DentistPractitioner - Dentist 4688187057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D11875ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
G.C. Ashmore Dental Corp. Dentist PastSince Sep 1, 2021 Accepting new patients
Rygg and Singh Dental Corporation Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1275010670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20887 GATEWAY DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023675",
            "telephone_number": "970-394-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 NE CONNERS AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016068",
            "telephone_number": "541-678-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTE",
        "first_name": "KRISTA",
        "middle_name": "CIARRA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.