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MIRANDA ELIZABETH DAVIS DDS
NPI 1164596201
Dentist - General Practice in Bend, OR

Active since November 20, 2006PECOS Enrolled
2084 NE PROFESSIONAL CT, BEND, OR 97701(541) 383-3005(541) 383-1883 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2024, Jun 27, 2024 (2 updates tracked since 2024).

About Miranda Elizabeth Davis Dds NPPES

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

MIRANDA ELIZABETH DAVIS DDS (NPI 1164596201) is an individual general practice provider in Bend, Oregon, licensed in Oregon (D11168) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1164596201
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMIRANDA ELIZABETH DAVISCredential: DDS
Location Address2084 NE PROFESSIONAL CTBend, OR 97701-6077
Mailing AddressPo Box 4228Portland, OR 97208-4228 · (541) 383-3005 · Fax (541) 383-1883
Phone(541) 383-3005
Fax(541) 383-1883
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1164596201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in OR · D11168✔ Licensed in WA · DE00010692
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.
2084 NE PROFESSIONAL CT, Bend, OR 97701
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Secondary Practice Location 1

Location 12209 E 32nd StTacoma, WA 98404-4922 · Phone (253) 593-0232 ext. 403 · Fax (253) 593-0232

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Elizabeth Davis Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 20

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

MRS. HELEN SANDERSON RDH
Dental Hygienist
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 647-9574
MS. PAISLEY PIJUAN LCSW
Social Worker (Clinical)
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 383-3005
MARIA VELIZ
Interpreter
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 383-3005
KEITH WILLIAM BELL PA
Physician Assistant
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 383-3005
KATHERINE A BAUMANN MD
Pediatrics
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 383-3005
DR. ANDREA BATEMAN M.D.
Pediatrics
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 383-3005
CATHERINE KOTO D.D.S.
Dentist
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 383-3005
ASC GI DIAGNOSTIC CENTER, LLC
Clinic/Center (Ambulatory Surgical)
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 322-5753

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 Miranda Davis's NPI number?

The NPI number for Miranda Davis is 1164596201. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Miranda Davis located?

Miranda Davis practices at 2084 NE Professional Ct, Bend, OR 97701. The listed phone number is (541) 383-3005.

What is Miranda Davis's specialty?

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

Is Miranda Davis enrolled in Medicare?

Yes. Miranda Davis is registered in the Medicare PECOS enrollment system.

What insurance does Miranda Davis accept?

Health plans from BridgeSpan Health Company, Humana, Regence BlueCross BlueShield of Oregon and Renaissance Dental list Miranda Davis 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 Miranda Davis was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.