Organization Active NPI

Bend Arbor, LLC

  • Alzheimer Center (Dementia Center)
  • Bend, OR
National Provider Identifier
1518567502
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
BEND ARBOR, LLC
Practice address
1290 SW Silver Lake Blvd
Bend, OR 97702-2236
Phone
(458) 202-0074
NPI assigned
Oct 28, 2020
Last updated
Oct 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Karl Miller Jr.
Title
Ceo
Phone
(503) 570-3405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

1290 SW Silver Lake Blvd
Bend, OR 97702-2236

Mailing address

1290 SW Silver Lake Blvd
Bend, OR 97702-2236

National Provider Directory

National Provider Directory

Locations

1290 SW Silver Lake Blvd
Bend, OR 97702
Phone (458) 202-0074

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1518567502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SW SILVER LAKE BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 SW SILVER LAKE BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022236",
            "telephone_number": "458-202-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND ARBOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-570-3405",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.