Individual provider Active NPI

Jessica Buenjemia, DDS

  • General Practice Dentistry
  • North Bend, OR
National Provider Identifier
1710967336
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8493 Issued in OR
Practice address
2157 Broadway St
North Bend, OR 97459-2329
Phone
(541) 751-1915
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D8493 OR Primary

Addresses

Primary practice location

2157 Broadway St
North Bend, OR 97459-2329

Mailing address

1001 SE Tualatin Valley Hwy
Ste A16
Hillsboro, OR 97123-4977
Phone (503) 693-1217

Other identifiers 1

IdentifierTypeStateIssuer
023013MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170116000467 OR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0244512861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hayden Family Dentistry Group General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710967336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE TUALATIN VALLEY HWY",
            "address_2": "STE A16",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234977",
            "telephone_number": "503-693-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 BROADWAY ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592329",
            "telephone_number": "541-751-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENJEMIA",
        "first_name": "JESSICA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023013",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, OR

Sources for this page

Verify at the official NPI Registry.