Three Sisters Sleep LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

THREE SISTERS SLEEP LLC

Practice address

1569 SW Nancy Way Ste 1
Bend, OR 97702-3234

Phone

(541) 797-9136

Fax

(458) 202-2218

NPI assigned

Mar 4, 2022

Organization subpart

No

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

Authorized official

Name

Kylie Wasserman, DDSNPI 1417484296

Title

Dentist

Phone

(541) 797-9136

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kylie Wasserman, D.D.S.

  • Dentist
  • Bend, OR
  • NPI 1417484296
  NPD Authorized official

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1609523166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 SW NANCY WAY STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023234",
            "telephone_number": "541-797-9136",
            "fax_number": "458-202-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 SW NANCY WAY STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023234",
            "telephone_number": "541-797-9136",
            "fax_number": "458-202-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE SISTERS SLEEP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-797-9136",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Grace Thornton, LPC
• Michael Thornton
• Michelle Thorstrom
• Three Pines Neuropsychology
• Three Sisters Cosmetic Surgery LLC
• Crystal Threlkeld
• Thrifty Payless Inc
• Thrive Bend Inc.
• Thrive Central Oregon
• Thrive Life Well Therapy

• Customized Equipment (DME) in Bend, OR
• Providers in Bend, OR by specialty
• Customized Equipment (DME) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.