Active NPI
Casey A Thein, DMD
- Dentist
- Bend, OR
National Provider Identifier
1356995260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11112
- Practice address
- 61249 S Hwy 97 Ste 100
Bend, OR 97702-2665 - Phone
- (541) 668-8959
- NPI assigned
- Jul 29, 2019
- Last updated
- Sep 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D11112 | OR | Primary |
| Public Health Dentistry | 1223D0001X | D11112 | OR |
Addresses
Primary practice location
61249 S Hwy 97 Ste 100
Bend, OR 97702-2665
Mailing address
61249 S Hwy 97 Ste 100
Bend, OR 97702-2665
Phone (541) 668-8959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11112 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1356995260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61249 S HWY 97 STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977022665",
"telephone_number": "541-668-8959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61249 S HWY 97 STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977022665",
"telephone_number": "541-668-8959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEIN",
"first_name": "CASEY",
"middle_name": "A",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-29",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D11112",
"primary": true
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "OR",
"license": "D11112",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
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- Lindsey Theda, DDS
- Anna Danae Thedford, MA, LPC
- Thekey of Oregon LLC
- Therapeutic Associates, Inc (TAI - Central Oregon)
- Therapeutic Associates, Inc. (TAI - Central Oregon Athletic Club of Bend)
- Therapy Hub, LLC
- Theresa M. Rubadue-Doi DC, LLC (NorthWest Crossing Chiropractic & Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.