Active NPI
Healthy Roots Endodontics LLC
- Endodontics
- Bend, OR
National Provider Identifier
1538097043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- HEALTHY ROOTS ENDODONTICS LLC
- Practice address
- 102 NW Newport Ave
Bend, OR 97703-1838 - Phone
- (970) 214-9412
- NPI assigned
- May 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Hediger, DMD
- Title
- Owner/Operator
- Phone
- (970) 214-9412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary |
Addresses
Primary practice location
102 NW Newport Ave
Bend, OR 97703-1838
Mailing address
630 NW Silver Buckle
Bend, OR 97703-9086
Phone (970) 214-9412
Other practice location 1
175 S Main St
Prineville, OR 97754-2744
Phone (970) 214-9412
National Provider Directory
National Provider DirectoryLocations
102 NW Newport Ave
Bend, OR 97703
Phone (541) 382-2256
175 S Main St
Prineville, OR 97754
Phone (970) 214-9412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1538097043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 NW SILVER BUCKLE",
"city": "BEND",
"state": "OR",
"postal_code": "977039086",
"telephone_number": "970-214-9412",
"fax_number": "970-214-9412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 NW NEWPORT AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977031838",
"telephone_number": "970-214-9412"
}
],
"practiceLocations": [
{
"address_1": "175 S Main St",
"address_purpose": "LOCATION",
"city": "Prineville",
"state": "OR",
"postal_code": "977542744",
"country_code": "US",
"telephone_number": "970-214-9412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEALTHY ROOTS ENDODONTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-13",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "HEDIGER",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "970-214-9412",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"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 May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.