Cameron Woolsey, D.D.S, M.S.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE61116282 Issued in WA

Practice address

1590 NE Williamson Blvd
Bend, OR 97701-6071

Phone

(541) 388-1500

NPI assigned

Jun 23, 2021

Sex

Male

Sole proprietor

Yes

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

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.

• Cascade Endodontic Group LLC

  • Endodontics
  • Bend, OR
  • NPI 1265698351
  NPD (past)
• Daniel P. Bitner, DMD, PC

  • Endodontics
  • Bend, OR
  • NPI 1740624493
  NPD (past)

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1528637485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 NE WILLIAMSON BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016071",
            "telephone_number": "541-388-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 NE WILLIAMSON BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016071",
            "telephone_number": "541-388-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLSEY",
        "first_name": "CAMERON",
        "credential": "D.D.S, M.S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE61116282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Woods, DMD, MS
• Andrea Woodward
• Mary Joyce Campos Woody, AU.D.
• Kevin Mark Woog, D.C.
• Penn Burrows Wooldridge, RN
• Stephanie Woolsey, DDS
• Work Capacities LLC
• Heather Briana Worley-Laughlin
• Maria B Worsley, B.S.
• Jack C Worthington

• Endodontics in Bend, OR
• Providers in Bend, OR by specialty
• Endodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; 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.