Travis Robert Schuller, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9574 Issued in OR

Practice address

2381 NE Conners Ave
Bend, OR 97701-6068

Phone

(541) 837-1662

NPI assigned

Jun 8, 2011

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Advantage Dental

  • Preferred Provider Organization
  • Bend, OR
  • NPI 1285007807
  NPD (past)
• Keldsen Family Dental Care

  • General Practice Dentistry
  • Bend, OR
  • NPI 1689936049
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1790079531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560092",
            "telephone_number": "541-620-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 NE CONNERS AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016068",
            "telephone_number": "541-837-1662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 NW Bridge St",
            "address_purpose": "LOCATION",
            "city": "John Day",
            "state": "OR",
            "postal_code": "978451134",
            "country_code": "US",
            "telephone_number": "888-468-0022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 NW Harriman St",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977032819",
            "country_code": "US",
            "telephone_number": "541-389-0277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULLER",
        "first_name": "TRAVIS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Schroeter, BS
• Samantha Schubert
• Henry Schuler
• Ryan Schuler, LMT
• Natalie Shireen Schull
• Krista Ciarra Schulte, DMD
• Karl Josef Schultheiss, MD
• Carter Schultz, DC
• Jonathan Schultz, MD
• Skye Lucy-Watson Schultz, RN

• General Practice Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.