Organization Active NPI

Cascadia Family Dental

  • Dental Clinic/Center
  • Bend, OR
National Provider Identifier
1750896445
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D10431 Issued in OR
Legal business name
CASCADIA FAMILY DENTAL
Practice address
361 NE Franklin Ave BLDG D
Bend, OR 97701-4917
Phone
(541) 382-1279
Fax
(541) 382-8327
NPI assigned
Dec 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Dr. Jared R Adams, DDSNPI 1588098917
Title
Practice Owner/Dentist
Phone
(541) 382-5678

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
Dental Clinic/Center 261QD0000X D10431 OR Primary

Addresses

Primary practice location

361 NE Franklin Ave BLDG D
Bend, OR 97701-4917

Mailing address

361 NE Franklin Ave BLDG D
Bend, OR 97701-4917
Phone (541) 382-5678

National Provider Directory

National Provider Directory

Locations

361 NE Franklin Ave
Bldg D
Bend, OR 97701
Phone (541) 382-1279

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": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1750896445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 NE FRANKLIN AVE BLDG D",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014917",
            "telephone_number": "541-382-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 NE FRANKLIN AVE BLDG D",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014917",
            "telephone_number": "541-382-1279",
            "fax_number": "541-382-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADIA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE OWNER/DENTIST",
        "authorized_official_telephone_number": "541-382-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D10431",
            "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 May 19, 2023; 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.