Organization Active NPI

Healthy Roots Endodontics LLC

  • Endodontics
  • Bend, OR
National Provider Identifier
1538097043
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
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

Updated by the provider on May 21, 2026

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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.