DR. TRAVIS ROBERT SCHULLER (NPI# 1790079531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790079531 |
| Entity Type | Individual |
| Full Name | DR. TRAVIS ROBERT SCHULLER |
| Credential | DMD |
| Practice Address |
2381 Ne Conners Ave Bend OR 97701-6068 |
| Mailing Address |
Po Box 490 Redmond OR 97756-0092 |
| Practice Telephone | 5418371662 |
| Mailing Telephone | 5416204577 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D9574 | OR | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 411 Nw Bridge St, John Day, OR 978451134 | 8884680022 | |
| 600 Nw Harriman St, Bend, OR 977032819 | 5413890277 |
| Street Address |
2381 NE CONNERS AVE |
| City | BEND |
| State | OR |
| Zip Code | 97701-6068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659417327 | Robert Anthony Bass | Dentist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2007-01-30 |
| 1700251865 | Alisa Stephenson | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2015-12-01 |
| 1245603695 | Brynna Rust | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2015-11-06 |
| 1053784538 | Kimberly Holliday | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2015-11-05 |
| 1285007807 | Advantage Dental | Preferred Provider Organization | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2015-11-04 |
| 1295162329 | Tiffany Meilani Foy | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2013-10-03 |
| 1194018564 | Teresa J Waite | Denturist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2011-05-18 |
| 1659660108 | Mary Ann Wren | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2011-04-05 |
| 1174837983 | Evan G Olson | Dentist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2010-08-04 |
| 1306098934 | Taylor Bybee | Dentist | 2381 Ne Conners Ave, Bend, OR 97701 | 2008-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790201846 | Amberena Louise Fairlee | Dentist | 499 Sw Upper Terrace Dr Ste B, Bend, OR 97702-1582 | 2017-08-21 |
| 1225401052 | Mirror Pond Dental, LLC | Dentist | 102 Nw Newport Ave, Bend, OR 97703-1838 | 2015-11-02 |
| 1336577824 | Dr Dondo Dental Excellence LLC | Dentist | 1725 Sw Chandler Ave Ste 100, Bend, OR 97702-3248 | 2013-10-22 |
| 1588098917 | Jared R Adams | Dentist | 775 Sw Bonnett Way, Ste 100, Bend, OR 97702-2080 | 2013-08-21 |
| 1194165878 | Eric Noland Alston | Dentist | 62968 O B Riley Rd Ste 12, Bend, OR 97703 | 2013-06-26 |
| 1023252384 | Robert Harold Hodgert | Dentist | 2445 Ne Division St, Suite 106, Bend, OR 97701-3571 | 2009-04-29 |
| 1205092954 | Blake Brandt Drew | Dentist | 2215 Nw Shevlin Park Rd Ste 110, Bend, OR 97703-7108 | 2008-08-01 |
| 1073770764 | Jack Randolph Miller | Dentist | 2078 Ne Professional Ct, Bend, OR 97701-6077 | 2008-05-20 |
| 1164601738 | Benjamin David Crockett | Dentist | 344 Ne Marshall Ave, Bend, OR 97701-4346 | 2007-10-30 |
| 1912113838 | Virginia Kay Murtaugh | Dentist | 1510 Sw Nancy Way, Suite #2, Bend, OR 97702-3256 | 2007-05-15 |
| Find all providers in BEND | ||||
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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.