Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1184623308 Deactivated / Inactive NPI Male Practitioner

Dr. David R Bangsberg , DDS

Dentist - Endodontics • Portland, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Bangsberg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 19, 2005
NPI Deactivation Date December 16, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. David Bangsberg, DDS was a registered Dentist - Endodontics practicing in Portland, OR. Throughout an active medical career spanning 14 years, Dr. Bangsberg provided care at the practice location at 2211 LLOYD CTR until profile deactivation on 2019-12-16.

Practice Location & Contact Primary Location

Practice Address

2211 Lloyd Ctr

Portland, OR 972321315

Telephone 5032827537
Fax 5032883423

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Portland, OR

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

Practicing in Portland, OR (119 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 - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License OR D4999

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Stephen Cutrera , DDS

Dentist - Endodontics

NPI 1508867102

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 16, 2019

Record deactivated on December 16, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2211 LLOYD CTR, PORTLAND, OR 972321315 (Tel: 5032827537)

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Updated Business Mailing Address July 08, 2007

Registered at 2211 LLOYD CTR, PORTLAND, OR 972321315 (Tel: 5032827537)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID BANGSBERG, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D4999 in OR)

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Initial NPI Registration & Enumeration July 19, 2005

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: 1184623308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2005
Last Update: July 08, 2007
Deactivation Date: December 16, 2019

Mailing Address

2211 Lloyd Ctr

Portland, OR 972321315

Phone: 5032827537

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.