Todd a Schock PC DMD MD

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

288477 Issued in OR

Legal business name

TODD A SCHOCK PC DMD MD

Practice address

1893 NE Neff Rd
Bend, OR 97701-6112

Phone

(541) 382-1791

Fax

(541) 389-6953

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Ann Skaug

Title

Office Manager

Phone

(541) 382-7981

Specialties & licenses 1

Addresses

Other names 1

• facial and oral surgical center Other name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amir Azarisamani, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Bend, OR
  • NPI 1598021578
  NPD (past)
• Mark Schlam, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Bend, OR
  • NPI 1750780441
  NPD (past)
• Garrett Welch, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Bend, OR
  • NPI 1689932063
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1285744573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016112",
            "telephone_number": "541-382-1791",
            "fax_number": "541-389-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016112",
            "telephone_number": "541-382-1791",
            "fax_number": "541-389-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD A SCHOCK PC DMD MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "SKAUG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-382-7981",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "288477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "facial and oral surgical center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angeleia E Tipton, DTCM
• Dakota J. Tittle, CRM
• Chantel Titus, RN
• Michael D Tobey, D.C.
• Patricia Parrone Tobin, PT
• Katie Toman
• Lauren Andrus Tomeny, MD
• Jill Tomlinson
• Tompkins Chiropractic, LLC
• Carrie Elizabeth Tompkins, LMT

• Oral and Maxillofacial Surgery Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.