MARC ANDREW NORDSTROM DMD PC
NPI 1013077650
Dentist - General Practice in Bend, OR

Q: What is Marc Nordstrom's NPI number?

The NPI number for Marc Nordstrom is 1013077650. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Marc Nordstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Marc Nordstrom enrolled in Medicare?

No. Marc Nordstrom has opted out of Medicare through June 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Marc Nordstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 12, 2006Opted out of Medicare · through Jun 5, 2028

108 NW NEWPORT AVE, BEND, OR 97701(541) 382-0823(541) 385-8665 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Marc Andrew Nordstrom Dmd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARC ANDREW NORDSTROM DMD PC (NPI 1013077650) is an individual general practice provider in Bend, Oregon, licensed in Oregon (D7335) and active in the NPI registry since December 2006. He has opted out of Medicare through June 5, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013077650

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMARC ANDREW NORDSTROMCredential: DMD PC

Location Address108 NW NEWPORT AVEBend, OR 97701-1838

Mailing Address108 Nw Newport AveBend, OR 97701-1838 · (541) 382-0823 · Fax (541) 385-8665

Phone(541) 382-0823

Fax(541) 385-8665

Sole ProprietorNo

Enumeration DateDecember 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1013077650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D7335

Definition

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.

108 NW NEWPORT AVE, Bend, OR 97701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Marc Andrew Nordstrom Dmd Pc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 5, 2018 through June 5, 2028.

Opt-Out Effective DateJune 5, 2018

Opt-Out In Effect ThroughJune 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RUPINDER JOHL DMD

Dentist

108 NW NEWPORT AVE
BEND, OR 97701

Deschutes County (541) 382-0823

DR. WILLIAM A. GUY D.D.S.

Dentist (General Practice)

108 NW NEWPORT AVE
BEND, OR 97701

Deschutes County (541) 382-2252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Nordstrom's NPI number?

The NPI number for Marc Nordstrom is 1013077650. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Marc Nordstrom located?

Marc Nordstrom practices at 108 NW Newport Ave, Bend, OR 97701. The listed phone number is (541) 382-0823.

What is Marc Nordstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Marc Nordstrom enrolled in Medicare?

No. Marc Nordstrom has opted out of Medicare through June 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Marc Nordstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.