Blair Hanson Struble, DMD, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D9057 Issued in OR

Practice address

1725 SW Chandler Ave
Bend, OR 97702-3248

Phone

(541) 749-4444

NPI assigned

Dec 16, 2008

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Vista Orthodontic Group LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bend, OR
  • NPI 1366259897
  NPD Authorized official

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1396980694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2478 NW HEMMINGWAY ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 SW CHANDLER AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023248",
            "telephone_number": "541-749-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUBLE",
        "first_name": "BLAIR",
        "middle_name": "HANSON",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D9057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Kay Strom, MD
• Diana L. Strong, MS QMHP CCM
• Carly Stroud
• Chesley Strowd
• Struble Orthodontics, LLC
• Trebor Taylor Struble, PA
• Sarah Ashley Struthers, M.D.
• Leela Stuart, PMHNP
• Loryn Studer, DPT
• Sara Ann Studt, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.