Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437630068 Individual Practitioner Female Practitioner

Dr. Sophie Rose Diepenheim , DMD

Dentist - General Practice • Bend, OR

Professional Overview & Biography Verified Profile Summary

Dr. Sophie Diepenheim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bend, OR. Practice services are available at 61583 SE 27TH ST STE 170 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

61583 Se 27th St Ste 170

Bend, OR 977028863

Telephone 5412626101
Fax 5416230610
Associated Practice Facility / Clinic
🏢 Breathe Deep Dental Llc Facility NPI 1023729969

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
72 Specialists

Practicing in Bend, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D10924

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location December 18, 2024

Registered at 61583 SE 27TH ST STE 170, BEND, OR 977028863 (Tel: 5412626101)

📍
Updated Practice Location July 15, 2021

Registered at 257 NE 2ND ST, PRINEVILLE, OR 977541910 (Tel: 5418371709)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2021

Dentist (License #D10924 in OR)

📍
Updated Practice Location October 07, 2020

Registered at 628 NW YORK DR, BEND, OR 977031572 (Tel: 5413892300)

📍
Updated Business Mailing Address October 07, 2020

Registered at 548 NW HARMON BLVD, BEND, OR 977033022 (Tel: 5414196567)

📍
Updated Practice Location May 31, 2019

Registered at 2200 14TH AVE SE, ALBANY, OR 973228511 (Tel: 5419289299)

NPI Profile Active August 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2018

Registered at 2702 NE 78TH ST STE 104, VANCOUVER, WA 986650664 (Tel: 3605736047)

📍
Updated Business Mailing Address August 22, 2018

Registered at 3627 SE GLADSTONE ST, PORTLAND, OR 972023241 (Tel: 5414196567)

👤
Provider Name / Credentials Updated August 22, 2018

Recorded as SOPHIE DIEPENHEIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2018

Dentist (License #DE60884004 in WA)

🟢
Initial NPI Registration & Enumeration August 22, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437630068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2018
Last Update: December 18, 2024
Sole Proprietor: Yes

Mailing Address

548 Nw Harmon Blvd

Bend, OR 977033022

Phone: 5414196567

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.