Marietta Joanna Bajer, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D6150 Issued in OR

Practice address

1470 SW Knoll Ave
Suite 104
Bend, OR 97702-3186

Phone

(541) 383-0093

Fax

(541) 383-0093

NPI assigned

Feb 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275675878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 SW KNOLL AVE",
            "address_2": "SUITE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023186",
            "telephone_number": "541-383-0093",
            "fax_number": "541-383-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 SW KNOLL AVE",
            "address_2": "SUITE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023186",
            "telephone_number": "541-383-0093",
            "fax_number": "541-383-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJER",
        "first_name": "MARIETTA",
        "middle_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D6150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Bend, OR
• Providers in Bend, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.