Dillen Wakefield

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

23 NW Greenwood Ave
Bend, OR 97703-2078

Phone

(541) 383-4293

Fax

(541) 383-4935

NPI assigned

Oct 10, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• All Care Treatment Center

  • Community/Behavioral Health Agency
  • Bend, OR
  • NPI 1679427553
  NPD (past)
• Pfeifer & Associates

  • Community/Behavioral Health Agency
  • Bend, OR
  • NPI 1396877908
  NPD (past)

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1780134106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 NW GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032078",
            "telephone_number": "541-383-4293",
            "fax_number": "541-383-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NW GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032078",
            "telephone_number": "541-383-4293",
            "fax_number": "541-383-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "DILLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-10",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zarah Wahlberg, LMT
• Monica M Wahls, FNP, PMHNP
• Roxsanne Alyssa Wahlund
• Emily Wainscoat, BS
• Teresa J Waite, LD
• Wal-Mart Stores, Inc.
• Wal-Mart Stores, Inc.
• Rebecca Wald, MD
• Bruce Edwin, Arthur Waldrup
• Walgreen Co

• Peer Specialist in Bend, OR
• Providers in Bend, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.