NPIMap

Organization Active NPI

Keldsen Family Dental Care

  • General Practice Dentistry
  • Bend, OR
National Provider Identifier
1689936049
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8854 Issued in OR
Legal business name
KELDSEN FAMILY DENTAL CARE
Practice address
600 NW Harriman St
Bend, OR 97701-2819
Phone
(541) 389-0277
Fax
(541) 389-4731
NPI assigned
Jun 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Christopher Keldsen, DMDNPI 1649460585
Title
Dentist/Owner
Phone
(541) 389-0277

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 D8854 OR Primary

Addresses

Primary practice location

600 NW Harriman St
Bend, OR 97701-2819

Mailing address

600 NW Harriman St
Bend, OR 97701-2819
Phone (541) 389-0277

National Provider Directory

National Provider Directory

Locations

600 NW Harriman St
Bend, OR 97703
Phone (541) 389-0277

Practitioners & affiliated clinicians

Practitioners 3

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": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1689936049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW HARRIMAN ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012819",
            "telephone_number": "541-389-0277",
            "fax_number": "541-389-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW HARRIMAN ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012819",
            "telephone_number": "541-389-0277",
            "fax_number": "541-389-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELDSEN FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "KELDSEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "541-389-0277",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8854",
            "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 Jun 12, 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.