Waterfall Clinic Incorporated
NPI 1700522489 · General Practice Dentistry · North Bend, OR
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Waterfall Clinic Incorporated is a General Practice Dentistry organization in North Bend, OR (NPI 1700522489).
Provider details
- NPI number
- 1700522489
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Andrea Trenner, Ceo(541) 756-6232
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Other names (DBA / former)
- Doing business as
- Waterfall Dental Services
Registry dates
- Enumerated
- 2022-05-06
- Last updated
- 2022-05-06
- Certified
- 2022-05-06
Frequently asked questions
- What is Waterfall Clinic Incorporated's NPI number?
- Waterfall Clinic Incorporated's National Provider Identifier (NPI) is 1700522489, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waterfall Clinic Incorporated?
- Waterfall Clinic Incorporated is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Waterfall Clinic Incorporated located?
- Waterfall Clinic Incorporated's practice location on file with NPPES is 1885 Waite Street, North Bend, OR 97459.
- What is Waterfall Clinic Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Waterfall Clinic Incorporated is (541) 756-6232.
- Does Waterfall Clinic Incorporated accept Medicare?
- Waterfall Clinic Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Waterfall Clinic Incorporated?
- The authorized official listed on Waterfall Clinic Incorporated's NPPES record is Andrea Trenner, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waterfall Clinic Incorporated's NPI active?
- Yes — Waterfall Clinic Incorporated's NPI (1700522489) is active in the NPPES registry as of the last update on 2022-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.