Carlo Marcel Arredondo, DDS
Individual provider Active NPI Dentist · Bend, OR
NPI 1437388253 · NPPES record last updated Feb 22, 2017
Key facts
- NPI
- 1437388253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D8423 (OR)
- Practice address
- 1725 SW Chandler Ave
Suite 101
Bend, OR 97702-3248 - Phone
- (541) 241-1299
- Fax
- (541) 797-6086
- NPI assigned
- Jul 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150813011512 | OR | Order and Referring Only - Dentist |
8921233677 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Dondo Dental Excellence LLC | Current | Accepting new patients |
Locations
1725 SW Chandler Ave
Ste 101
Bend, OR 97702
Phone (541) 241-1299
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D8423 | OR | Yes |
Addresses
Primary practice location
1725 SW Chandler Ave
Suite 101
Bend, OR 97702-3248
Mailing address
1725 SW Chandler Ave
Suite 101
Bend, OR 97702-3248
Phone (541) 241-1299
Other names
- Dr. Carlo Marcel Arredondo
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.