Organization Active NPI

Steven D Aptelbaum DDS PC

  • Periodontics
  • Bend, OR
National Provider Identifier
1699877944
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
6705 Issued in OR
Legal business name
STEVEN D APTELBAUM DDS PC
Practice address
1201 NW Wall St Suite 102
Bend, OR 97701
Phone
(541) 382-5080
Fax
(541) 382-2782
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven David Aptelbaum, DDS
Title
Periodentist President
Phone
(541) 382-5080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 6705 OR Primary

Addresses

Primary practice location

1201 NW Wall St Suite 102
Bend, OR 97701

Mailing address

1201 NW Wall St Suite 102
Bend, OR 97701
Phone (541) 382-5080

National Provider Directory

National Provider Directory

Locations

1201 NW Wall St
Ste 102
Bend, OR 97703
Phone (541) 382-5080

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": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699877944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NW WALL ST SUITE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-382-5080",
            "fax_number": "541-382-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NW WALL ST SUITE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-382-5080",
            "fax_number": "541-382-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D APTELBAUM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "APTELBAUM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PERIODENTIST PRESIDENT",
        "authorized_official_telephone_number": "541-382-5080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "6705",
            "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 Aug 22, 2020; 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.