Kylie Wasserman, D.D.S.
Kylie Wasserman, D.D.S. is a provider specialising in Dentist in Bend, OR, registered under NPI 1417484296. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 3081 N HIGHWAY 97 STE 150, Bend, OR 97703. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| D10789 | OR | Dentist primary |
| D10789 | OR | General Practice Dentistry |
This provider holds licence D10789 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Dentist
- PAC ID
- 3173877636
- Enrollment ID
- I20200513000297
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Dentist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Dentist covers
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. NUCC Health Care Provider Taxonomy, code 122300000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 122300000X | Dentist | D10789 | OR | primary |
| 1223G0001X | General Practice Dentistry General Practice | D10789 | OR |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1417484296 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 11, 2017 |
| Last updated | Dec 5, 2022 |
| Status | Active |
| Sole proprietor | No |
| Credential | D.D.S. |
| Practice address |
3081 N HIGHWAY 97 STE 150 Bend, OR 97703 (541) 797-9136 Fax (458) 202-2218 |
| Mailing address |
3081 N HWY 97 STE 150 Bend, OR 97703 |
| Other identifiers |
1417484296
· Other (OR) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 1 | 7 | 4 | 8 | 4 | 2 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 2 | 7 | 8 | 8 | 8 | 2 | 9 |
Sum = 74 · next multiple of 10 = 80 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.