NPIMap

Organization Active NPI

Bend Toothfairies

  • Dental Hygienist
  • Bend, OR
National Provider Identifier
1821755018
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
BEND TOOTHFAIRIES
Practice address
61394 Coachman Way
Bend, OR 97702-3840
Phone
(541) 515-7228
NPI assigned
Nov 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Trysta Buehrig, RDH, EPDHNPI 1720743586
Title
Owner
Phone
(541) 515-7228

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 HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

61394 Coachman Way
Bend, OR 97702-3840

Mailing address

61394 Coachman Way
Bend, OR 97702-3840

National Provider Directory

National Provider Directory

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": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1821755018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61394 COACHMAN WAY",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61394 COACHMAN WAY",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023840",
            "telephone_number": "541-515-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND TOOTHFAIRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "BUEHRIG",
        "authorized_official_first_name": "TRYSTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-515-7228",
        "authorized_official_credential": "RDH, EPDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "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 Nov 22, 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.