STRUBLE ORTHODONTICS, LLC (NPI# 1669742441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669742441 |
| Entity Type | Organization |
| Organization Name | STRUBLE ORTHODONTICS, LLC |
| Practice Address |
1475 Sw Chandler Ave Ste 202 Bend OR 97702-3240 |
| Practice Telephone | 5418486642 |
| Mailing Telephone | 5418486642 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |
| Authorized Official Name | BLAIR H STRUBLE (ORTHODONTIST, OWNER) |
| Authorized Official Telephone | 5418486642 |
| Authorized Official Credential | DMD MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D9057 | OR | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | STRUBLE ORTHODONTICS, LLC | 929 Sw Simpson Ave Ste 201, Bend, OR 97702 |
| Street Address |
1475 SW CHANDLER AVE STE 202 |
| City | BEND |
| State | OR |
| Zip Code | 97702-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528275658 | Stephanie Edian Wold-christensen | Dentist | 1475 Sw Chandler Ave Ste 202, Bend, OR 97702-3240 | 2007-05-17 |
| 1659970168 | Central Oregon Radiology Assoc., P.C. | Radiology | 1475 Sw Chandler Ave Ste 202, Bend, OR 97702-3240 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992181838 | Shannon Woods | Dentist | 2500 Ne Twin Knolls Dr Ste 250, Bend, OR 97701-4786 | 2015-08-03 |
| 1780902999 | Brian Jay Rosenzweig | Dentist | 502 Ne 4th St, Bend, OR 97701-4954 | 2010-05-12 |
| 1629300330 | Robert E Burnside | Dentist | 551 Ne Greenwood Ave, Bend, OR 97701-4609 | 2010-02-04 |
| 1487849840 | Neil Wiater | Dentist | 569 Ne Clay Ave, Bend, OR 97701-5158 | 2007-09-10 |
| 1619197837 | Vincent Joseph Quas | Dentist | 569 Ne Clay Ave., Bend, OR 97701 | 2007-04-27 |
| 1114056116 | David M Gobeille | Dentist | 1725 Sw Chandler Ave, Bend, OR 97702-3248 | 2007-03-05 |
| 1629547682 | Woods Orthodontics LLC | Dentist | 2500 Ne Twin Knolls Dr Ste 250, Bend, OR 97701-4786 | 2018-11-20 |
| 1396980694 | Blair Hanson Struble | Dentist | 1725 Sw Chandler Ave, Bend, OR 97702-3248 | 2008-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124636329 | Daniel Hoopes | Dentist | 979 Young St Ste C, Woodburn, OR 97071-4954 | 2020-07-14 |
| 1487205233 | J.r. Gregg LLC | Dentist | 1201 Se 223rd Ave Ste 220, Gresham, OR 97030-2578 | 2019-09-24 |
| 1447721295 | Alix Jisun Leemin | Dentist | 2350 Sw Multnomah Blvd Ste C, Portland, OR 97219-3999 | 2018-12-05 |
| 1003381914 | Keyan Botsford | Dentist | 1625 E Mcandrews Rd Ste B, Medford, OR 97504-5334 | 2018-10-06 |
| 1316435241 | Daniel J Floyd Dmd Ms LLC | Dentist | 863 W. Main St., Suite 200, Molalla, OR 97038 | 2018-04-26 |
| 1891208724 | Jd Miller Dds PC | Dentist | 2250 Nw Flanders St Ste 112, Portland, OR 97210-5409 | 2017-11-14 |
| 1952761041 | Hi 5 Orthodontics | Dentist | 18325 Sw Alexander, Suite 2, Aloha, OR 97003 | 2016-03-02 |
| 1790169217 | Ortho Country Orthodontics LLC | Dentist | 1300 Ne Alpha Dr, Mcminnville, OR 97128-9711 | 2015-07-14 |
| 1033516232 | Dennis Wade Trammell | Dentist | 2215 Willamette St. Suite B, Eugene, OR 97405-2847 | 2014-12-03 |
| 1437581881 | Tamara Justus | Dentist | 11790 Sw Barnes Rd Ste 390, Portland, OR 97225-5935 | 2013-08-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.