Kylie Wasserman, D.D.S.
NPI 1417484296 · Dentist · Bend, OR
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kylie Wasserman, D.D.S. is a Dentist provider in Bend, OR (NPI 1417484296).
Provider details
- NPI number
- 1417484296
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- License
- D10789 (OR)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 16461 William Foss RdLa Pine, OR 97739-9486Phone: (541) 907-7020
Registry dates
- Enumerated
- 2017-05-11
- Last updated
- 2022-12-05
- Certified
- 2022-12-05
Frequently asked questions
- What is Kylie Wasserman's NPI number?
- Kylie Wasserman's National Provider Identifier (NPI) is 1417484296, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kylie Wasserman's specialty?
- Kylie Wasserman is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Kylie Wasserman located?
- Kylie Wasserman's practice location on file with NPPES is 3081 N Highway 97 Ste 150, Bend, OR 97703-7569.
- What is Kylie Wasserman's phone number?
- The practice phone number listed in the NPPES registry for Kylie Wasserman is (541) 797-9136.
- Does Kylie Wasserman accept Medicare?
- Kylie Wasserman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kylie Wasserman's NPI active?
- Yes — Kylie Wasserman's NPI (1417484296) is active in the NPPES registry as of the last update on 2022-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.