Kenneth Shirtcliff, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7610 Issued in OR

Practice address

906 NE Greenwood Ave
Suite #1
Bend, OR 97701-4892

Phone

(541) 382-4848

NPI assigned

Jul 26, 2005

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

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth M. Shirtcliff D.M.D. P.C.

  dba Greenwood Dental Care

  • General Practice Dentistry
  • Bend, OR
  • NPI 1679799837
  NPD

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1871593467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 NE GREENWOOD AVE",
            "address_2": "SUITE #1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014892",
            "telephone_number": "541-382-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 NE GREENWOOD AVE",
            "address_2": "SUITE #1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014892",
            "telephone_number": "541-382-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRTCLIFF",
        "first_name": "KENNETH",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Ann Shinkle, R.PH.
• Kathleen Shipley, MA
• Janet M Shipps, LPN
• William Ward Shirk, OPTOMETRIST
• Leah Marita Shirley-Biddle, RN
• Keiji Jay Shiyomura, OD
• Jena Shlegeris
• Jessica K Shoemaker
• Luke Shoemaker
• Steven Louis Shope, BS

• 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 Dec 7, 2025; 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.