1. Home
  2. Directory
  3. Oregon
  4. Bend
  5. Dermatology
  6. NPI Profile

JUNIPER DERMATOLOGY LLC
NPI 1134856404
Dermatology in Bend, OR

Active since August 05, 2022CLIA 38D2275597 · Waiver
2450 NE MARY ROSE PL STE 201, BEND, OR 97701(541) 585-7546(541) 582-7177 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Nov 1, 2023, Aug 5, 2022 (3 updates tracked since 2022).

About Juniper Dermatology Llc NPPES

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

JUNIPER DERMATOLOGY LLC (NPI 1134856404) is a healthcare organization registered as a dermatology in Bend, Oregon and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through January 23, 2027, maintains a secondary practice location in Redmond, and lists Karla Pivik, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1134856404
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJUNIPER DERMATOLOGY LLC
Location Address2450 NE MARY ROSE PL STE 201Bend, OR 97701-7133
Mailing Address2450 Ne Mary Rose Pl Ste 201Bend, OR 97701-7133 · (541) 585-7546 · Fax (541) 582-7177
Phone(541) 585-7546
Fax(541) 582-7177
Organization SubpartNo
Authorized OfficialKarla PivikAuthorized Official · (541) 647-9634
Enumeration DateAugust 5, 2022
Last NPPES UpdateMay 13, 20263 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1134856404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2450 NE MARY ROSE PL STE 201, Bend, OR 97701
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 NW Larch AveRedmond, OR 97756-1992 · Phone (541) 585-7546 · Fax (541) 582-7177

Other Identifiers 1

Other193400000XTaxonomy Code

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2275597

Juniper Dermatology, LLC · Bend, OR
Active · expires Jan 23, 2027
CLIA Number38D2275597
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorKarla Pivik
Laboratory Phone(541) 585-7546
Laboratory LocationJuniper Dermatology, LLC2450 NE Mary Rose Place Suite 201, Bend, OR 97701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. KARLA S PIVIK D.O.
Dermatology
2450 NE MARY ROSE PL STE 201
BEND, OR 97701
Deschutes County (541) 585-7546
ELENA EVELYN SALPAS PA-C
Physician Assistant
2450 NE MARY ROSE PL STE 201
BEND, OR 97701
Deschutes County (541) 585-7546
MRS. DACIA RENEE KAILIN PA-C
Physician Assistant (Medical)
2450 NE MARY ROSE PL STE 201
BEND, OR 97701
Deschutes County (541) 585-7546
IVAN NICOLAS VIAL MD
Plastic Surgery
2450 NE MARY ROSE PL STE 201
BEND, OR 97701
Deschutes County (541) 317-0808

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 Juniper Dermatology LLC's NPI number?

The NPI number for Juniper Dermatology LLC is 1134856404. It was assigned to this organization in the NPPES registry on August 5, 2022.

Where is Juniper Dermatology LLC located?

Juniper Dermatology LLC is located at 2450 NE Mary Rose Pl Ste 201, Bend, OR 97701. The listed phone number is (541) 585-7546.

What is Juniper Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Juniper Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2275597) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Juniper Dermatology LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Juniper Dermatology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Juniper Dermatology LLC was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.