Philip Dimitri Horning

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11966 Issued in OR

Practice address

812 NW York Dr Ste 100
Bend, OR 97703-6746

Phone

(541) 200-7798

NPI assigned

Mar 13, 2023

Last updated

Sep 17, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastside Bend Smiles, LLC

  dba Dental Artistry Implants Crowns Veneers

  • General Practice Dentistry
  • Bend, OR
  • NPI 1477470052
  NPD (past)
• Westside Bend Smiles, LLC

  dba Dental Artistry Implants Crowns Veneers

  • General Practice Dentistry
  • Bend, OR
  • NPI 1003733684
  NPD (past)

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1679274005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 NE ROSEMARY DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017751",
            "telephone_number": "541-640-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 NW YORK DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977036746",
            "telephone_number": "541-200-7798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1239 NE Medical Center Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977017359",
            "country_code": "US",
            "telephone_number": "541-200-7798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNING",
        "first_name": "PHILIP",
        "middle_name": "DIMITRI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Hopp, D.O.
• Maxwell James Hopper
• Carol Hopwood, LCSW
• James Henry Horak, M.D.
• Hormone Health & Wellness of Central Oregon PC
• Robert Stanley Horowitz, PH.D.
• Lana Madeleine Horvath
• Emily Hosford
• Brynn Houck, LMT
• Shea Hounschell

• General Practice Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.