Blake Quigley, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D10866 Issued in OR

Practice address

461 NE Greenwood Ave
Bend, OR 97701-4607

Phone

(541) 640-5322

NPI assigned

Sep 3, 2014

Last updated

Dec 3, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1609276054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 NE GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014607",
            "telephone_number": "541-640-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 NE GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014607",
            "telephone_number": "541-640-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIGLEY",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@benddentalwellness.com",
            "affiliation": "N",
            "address_1": "461 NE Greenwood Ave",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977014607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vincent Joseph Quas, DDS
• Hannah Marie Quaschnik, AUD
• Tannus Erik Quatre, PT
• Matthew Query, MD
• Rachel Etter Query, DNP, ARNP, MPH
• Robert Thomas Quinn II, MD
• R. Adam Dickey PSYD LLC (R. Adam Dickey)
• Rachel L Frank LLC
• Gerald Dana Radant, RPH
• Daniel Angelo Radatti, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.