Organization Active NPI

Bend Dental Care, PC

  • General Practice Dentistry
  • Bend, OR
National Provider Identifier
1639890940
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BEND DENTAL CARE, PC
Practice address
965 SW Emkay Dr Ste 100
Bend, OR 97702-3598
Phone
(541) 541-6405
NPI assigned
Sep 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Dr. Bradley Wayne Hester, DMDNPI 1396730313
Title
President
Phone
(541) 410-1052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

965 SW Emkay Dr Ste 100
Bend, OR 97702-3598

Mailing address

660 NE 3Rd St Ste 3
Bend, OR 97701-4772
Phone (541) 410-1052

National Provider Directory

National Provider Directory

Locations

965 SW Emkay Dr
Ste 100
Bend, OR 97702
Phone (541) 383-0754

Practitioners & affiliated clinicians

Practitioners 1

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": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1639890940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 NE 3RD ST STE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014772",
            "telephone_number": "541-410-1052",
            "fax_number": "541-389-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 SW EMKAY DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023598",
            "telephone_number": "541-541-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-410-1052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "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 Sep 6, 2022; 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.