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KENNETH SHIRTCLIFF D.M.D.
NPI 1871593467
Dentist - General Practice in Bend, OR

Active since July 26, 2005PECOS Enrolled
906 NE GREENWOOD AVE, SUITE #1, BEND, OR 97701(541) 382-4848 Get Directions Write a Review

NPPES record last updated: December 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2025, Nov 10, 2025 (2 updates tracked since 2025).

About Kenneth Shirtcliff D.m.d. NPPES

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

KENNETH SHIRTCLIFF D.M.D. (NPI 1871593467) is an individual general practice provider in Bend, Oregon, licensed in Oregon (D7610) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871593467
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENNETH SHIRTCLIFFCredential: D.M.D.
Location Address906 NE GREENWOOD AVE, SUITE #1Bend, OR 97701-4892
Mailing Address906 Ne Greenwood Ave, Suite #1Bend, OR 97701-4892 · (541) 382-4848
Phone(541) 382-4848
Sole ProprietorNo
Enumeration DateJuly 26, 2005
Last NPPES UpdateDecember 7, 20252 updates tracked since enumeration
NPPES CertifiedDecember 7, 2025
✔ NPI 1871593467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D7610
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.

906 NE GREENWOOD AVE, Bend, OR 97701
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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)

Kenneth Shirtcliff D.m.d. 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

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

CARMELA BARINAGA
Dentist (General Practice)
906 NE GREENWOOD AVE
BEND, OR 97701
Deschutes County (541) 382-4848

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 Kenneth Shirtcliff's NPI number?

The NPI number for Kenneth Shirtcliff is 1871593467. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Kenneth Shirtcliff located?

Kenneth Shirtcliff practices at 906 NE Greenwood Ave Suite #1, Bend, OR 97701. The listed phone number is (541) 382-4848.

What is Kenneth Shirtcliff's specialty?

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

Is Kenneth Shirtcliff enrolled in Medicare?

Yes. Kenneth Shirtcliff is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Shirtcliff accept?

Health plans from PacificSource Health Plans list Kenneth Shirtcliff 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 Kenneth Shirtcliff was last updated on December 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.