Struble Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D9057 Issued in OR

Legal business name

STRUBLE ORTHODONTICS, LLC

Practice address

1475 SW Chandler Ave Ste 202
Bend, OR 97702-3240

Phone

(541) 848-6642

NPI assigned

Jan 10, 2012

Organization subpart

No

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

Authorized official

Name

Blair H Struble, DMD MSD

Title

Orthodontist, Owner

Phone

(541) 848-6642

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1669742441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 SW CHANDLER AVE STE 202",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023240",
            "telephone_number": "541-848-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 SW CHANDLER AVE STE 202",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023240",
            "telephone_number": "541-848-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRUBLE ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "STRUBLE",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ORTHODONTIST, OWNER",
        "authorized_official_telephone_number": "541-848-6642",
        "authorized_official_credential": "DMD MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D9057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Strobel
• Janelle Kay Strom, MD
• Diana L. Strong, MS QMHP CCM
• Carly Stroud
• Chesley Strowd
• Blair Hanson Struble, DMD, MSD
• Trebor Taylor Struble, PA
• Sarah Ashley Struthers, M.D.
• Leela Stuart, PMHNP
• Loryn Studer, DPT

• Orthodontics and Dentofacial Orthopedics Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.