SITA LISA PING DMD
NPI 1396263398
Dentist - Pediatric Dentistry in Bend, OR

Q: What is Sita Ping's NPI number?

The NPI number for Sita Ping is 1396263398. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Q: What is Sita Ping's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Sita Ping was last updated on June 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 30, 2017PECOS Enrolled

2381 NE CONNERS AVE, BEND, OR 97701(541) 678-6262 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2021, Aug 30, 2017 (2 updates tracked since 2017).

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About Sita Lisa Ping Dmd NPPES

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

SITA LISA PING DMD (NPI 1396263398) is an individual pediatric dentistry provider in Bend, Oregon, licensed in Oregon (D10729) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396263398

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameSITA LISA PINGCredential: DMD

Location Address2381 NE CONNERS AVEBend, OR 97701-6068

Mailing Address10505 Se 17th AvePortland, OR 97222-7475

Phone(541) 678-6262

Sole ProprietorNo

Enumeration DateAugust 30, 2017

Last NPPES UpdateJune 8, 20212 updates tracked since enumeration

NPPES CertifiedJune 8, 2021

✔ NPI 1396263398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in OR · D10729

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License NA (OR)

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D10729 (OR)

2381 NE CONNERS AVE, Bend, OR 97701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

Sita Lisa Ping Dmd 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.

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Other Providers at the Same Location NPPES 15

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

DR. TYLER FRIESEN

Dentist