Blake Drew DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9366 Issued in OR

Legal business name

BLAKE DREW DMD, PC

Practice address

2215 NW Shevlin Park Rd Ste 110
Bend, OR 97703-7195

Phone

(541) 610-3270

Fax

(541) 279-2356

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Blake B Drew, DMD

Title

Owner/President

Phone

(971) 226-6029

Specialties & licenses 1

Addresses

Other names 1

• Drew Family Dentistry Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

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

• Mitchell Scott Saunders, DMD

  • General Practice Dentistry
  • Bend, OR
  • NPI 1194583260
  NPD

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1295247674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 NW HIGH LAKES LOOP",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037056",
            "telephone_number": "971-226-6029",
            "fax_number": "541-279-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NW SHEVLIN PARK RD STE 110",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037195",
            "telephone_number": "541-610-3270",
            "fax_number": "541-279-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE DREW DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "971-226-6029",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drew Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon Arthur Blackman, MD
• Jeffrey M Blackmon, M.D.
• Elizabeth Blackwood, MSW, LCSW
• Ryan Elizabeth Blackwood
• Gregory Paul Blair, M.D.
• Adriana Lynn Blake
• Donna Jean Blankenship
• Rachelle Blankenship
• David Eric Blanknship, RN
• Jan Blas, PT

• General Practice Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.