1. Home
  2. Directory
  3. Oregon
  4. Redmond
  5. Clinic Center
  6. NPI Profile

CALDERA DENTAL GROUP
NPI 1396403820
Clinic/Center - Dental in Redmond, OR

Active since December 01, 2021
2727 SW 17TH PL, REDMOND, OR 97756(360) 921-4735 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2022, Dec 1, 2021 (2 updates tracked since 2021).

About Caldera Dental Group NPPES

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

CALDERA DENTAL GROUP (NPI 1396403820) is a healthcare organization registered as a dental in Redmond, Oregon and active in the NPI registry since December 2021. The organization lists Christopher Allen Primley, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1396403820
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCALDERA DENTAL GROUP
Location Address2727 SW 17TH PLRedmond, OR 97756-1297
Mailing Address2727 Sw 17th PlRedmond, OR 97756-1297 · (541) 604-2900
Phone(360) 921-4735
Organization SubpartNo
Authorized OfficialChristopher Allen PrimleyOwner/dentist · (541) 604-2900
Enumeration DateDecember 1, 2021
Last NPPES UpdateJanuary 14, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2022
✔ NPI 1396403820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2727 SW 17TH PL, Redmond, OR 97756
Open in Google Maps ↗

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. EDWARD LEE CLARK DMD
Dentist (General Practice)
2727 SW 17TH PL
REDMOND, OR 97756
Deschutes County (541) 548-3896
CLARK FAMILY DENTISTRY PC
Dentist
2727 SW 17TH PL
REDMOND, OR 97756
Deschutes County (541) 548-3896

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 Caldera Dental Group's NPI number?

The NPI number for Caldera Dental Group is 1396403820. It was assigned to this organization in the NPPES registry on December 1, 2021.

Where is Caldera Dental Group located?

Caldera Dental Group is located at 2727 SW 17th Pl, Redmond, OR 97756. The listed phone number is (360) 921-4735.

What is Caldera Dental Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Caldera Dental Group was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.