Kenneth M. Shirtcliff D.M.D. P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KENNETH M. SHIRTCLIFF D.M.D. P.C.

Practice address

906 NE Greenwood Ave Ste 1
Bend, OR 97701-4892

Phone

(541) 382-4848

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Ken Shirtcliff

Title

Owner

Phone

(541) 382-4848

Specialties & licenses 1

Addresses

Other names 1

• Greenwood Dental Care Doing business as

Locations

Practitioners 1

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

• Kenneth Shirtcliff, D.M.D.

  • General Practice Dentistry
  • Bend, OR
  • NPI 1871593467
  NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1679799837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 NE GREENWOOD AVE STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 NE GREENWOOD AVE STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014892",
            "telephone_number": "541-382-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M. SHIRTCLIFF D.M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "SHIRTCLIFF",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-382-4848"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwood Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Marie Kennedy-Leary, PT
• Kenya Marie Kennedy, LMT
• Kindra Michelle Kennedy, CPM, LDM, IBCLC
• Larry Kennedy, CRM
• Tracy Kennelley, P.A-C
• Edward Joseph Kent III, MD
• Marina Ashley Kent, RN
• Sarah Loney Kent, PA-C
• Joseph Kentta
• Kenyon Audiology, Inc.

• 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 Jan 8, 2026; 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.