Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174730287 Individual Practitioner Male Practitioner

Dr. Rex Shannon Gibson , DDS

Dentist - Pediatric Dentistry • Bend, OR

Professional Overview & Biography Verified Profile Summary

Dr. Rex Gibson, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Bend, OR. Practice services are available at 1245 SE 3RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1245 Se 3rd St
Ste #a-1

Bend, OR 977022161

Telephone 5413185688
Fax 5413225581
Associated Practice Facility / Clinic
🏢 Cascade Kids Dental Facility NPI 1992706055

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Bend, OR (180 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

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License OR D7724

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
299183 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Graham Hearn , DDS

Dentist - Pediatric Dentistry

NPI 1164789061

Doctor of Dental Surgery

Dr. Lisa Austin , DMD, MSD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1518028455

Doctor of Dental Medicine, MSD

Dr. Hans Gray , DDS

Dentist - Pediatric Dentistry

NPI 1811336753

Doctor of Dental Surgery

Dr. Madeline Kelley , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1861988685

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 15, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2008

Registered at 1245 SE 3RD ST, STE #A-1, BEND, OR 977022161 (Tel: 5413185688)

📍
Updated Business Mailing Address January 15, 2008

Registered at 63870 JOHNSON RD, BEND, OR 977015218 (Tel: 5413185688)

👤
Provider Name / Credentials Updated January 15, 2008

Recorded as REX GIBSON, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2008

Dentist (License #D7724 in OR)

🟢
Initial NPI Registration & Enumeration May 17, 2007

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: 1174730287
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2007
Last Update: January 15, 2008
Sole Proprietor: Yes

Mailing Address

63870 Johnson Rd

Bend, OR 977015218

Phone: 5413185688

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.