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MOSAIC MEDICAL BEND DENTAL
NPI 1659888279
Clinic/Center - Federally Qualified Health Center (FQHC) in Bend, OR

Active since January 04, 2018
2084 NE PROFESSIONAL CT, BEND, OR 97701(541) 383-3005(541) 383-1883 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mosaic Medical Bend Dental NPPES

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

MOSAIC MEDICAL BEND DENTAL (NPI 1659888279) is a healthcare organization registered as a federally qualified health center (fqhc) in Bend, Oregon and active in the NPI registry since January 2018. The organization lists Megan Haase, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659888279
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMOSAIC MEDICAL DENTAL
Location Address2084 NE PROFESSIONAL CTBend, OR 97701-6077
Mailing Address600 Sw Columbia St Ste 6210Bend, OR 97702-1099 · (541) 383-3005
Phone(541) 383-3005
Fax(541) 383-1883
Organization SubpartYesParent: Mosaic Medical
Authorized OfficialMegan HaaseCeo · (541) 383-3005
Enumeration DateJanuary 4, 2018
Last NPPES UpdateFebruary 28, 2018
✔ NPI 1659888279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
2084 NE PROFESSIONAL CT, Bend, OR 97701
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Other Names 1

Doing Business AsMosaic Medical Bend Dental

Other Identifiers 1

Medicaid182960OR

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
MIRANDA ELIZABETH DAVIS DDS
Dentist (General Practice)
2084 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 383-3005

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 Mosaic Medical Dental's NPI number?

The NPI number for Mosaic Medical Dental is 1659888279. It was assigned to this organization in the NPPES registry on January 4, 2018. The provider is doing business as Mosaic Medical Bend Dental.

Where is Mosaic Medical Dental located?

Mosaic Medical Dental is located at 2084 NE Professional Ct, Bend, OR 97701. The listed phone number is (541) 383-3005.

What is Mosaic Medical Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Mosaic Medical Dental was last updated on February 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.