NPIMap

Organization Active NPI

K & L Oms LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Bend, OR
National Provider Identifier
1619423787
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D6629 Issued in OR
Legal business name
K & L OMS LLC
Practice address
1475 NE Williamson Blvd
Bend, OR 97701
Phone
(541) 382-1053
NPI assigned
Aug 29, 2016
Organization subpart
Yes
Parent organization
K & L OMS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
John Garrity
Title
Administrator
Phone
(541) 617-3993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X D6629 OR Primary

Addresses

Primary practice location

1475 NE Williamson Blvd
Bend, OR 97701

Mailing address

1475 NE Williamson Blvd
Bend, OR 97701
Phone (541) 382-1053

Other names 1

  • K & L OMS, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
K L Oms LLC3 organizations share this tax ID, including this one
Part of
K L Oms LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1475 NE Williamson Blvd
Bend, OR 97701
Phone (541) 382-1053

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1619423787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 NE WILLIAMSON BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-382-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 NE WILLIAMSON BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-382-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & L OMS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "K & L OMS, LLC",
        "enumeration_date": "2016-08-29",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "GARRITY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-617-3993"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D6629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K & L OMS, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 20, 2023; 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.