NPIMap

Organization Active NPI

Funner Dentalworks LLC

  • Dentist
  • Bend, OR
National Provider Identifier
1740947191
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FUNNER DENTALWORKS LLC
Practice address
775 SW Bonnett Way Ste 100
Bend, OR 97702-2080
Phone
(541) 388-0078
NPI assigned
Nov 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Chelsea Longlet, DDSNPI 1538571484
Title
Owner
Phone
(541) 388-0078

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

775 SW Bonnett Way Ste 100
Bend, OR 97702-2080

Mailing address

775 SW Bonnett Way Ste 100
Bend, OR 97702-2080
Phone (541) 388-0078

Other names 1

  • Mill Point Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

775 SW Bonnett Way
Ste 100
Bend, OR 97702
Phone (541) 388-0078

Practitioners & affiliated clinicians

Practitioners 5

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": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1740947191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 SW BONNETT WAY STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022080",
            "telephone_number": "541-388-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SW BONNETT WAY STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022080",
            "telephone_number": "541-388-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNNER DENTALWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "LONGLET",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-388-0078",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mill Point Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 19, 2021; 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.