NPIMap

Organization Active NPI

Deschutes Pain Specialists LLC

  • Pain Medicine (Anesthesiology) Physician
  • Bend, OR
National Provider Identifier
1568083517
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
DESCHUTES PAIN SPECIALISTS LLC
Practice address
2235 NW Shevlin Park Rd Ste 100
Bend, OR 97703-7111
Phone
(541) 410-6935
NPI assigned
Apr 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Michael E Wettstein
Title
Owner
Phone
(541) 410-6935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

2235 NW Shevlin Park Rd Ste 100
Bend, OR 97703-7111

Mailing address

PO Box 490
Bend, OR 97709-0490

National Provider Directory

National Provider Directory

Locations

2295 NW Shevlin Park Rd 100
Bend, OR 97703

2235 NW Shevlin Park Rd
Ste 100
Bend, OR 97703
Phone (541) 410-6935

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1568083517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977090490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 NW SHEVLIN PARK RD STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037111",
            "telephone_number": "541-410-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESCHUTES PAIN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "WETTSTEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-410-6935"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "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 14, 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.