Juniper Dermatology LLC
NPI 1134856404ActiveOrganization· Dermatology· Bend, OR
Dermatology in Bend, Oregon, registered in NPPES in August 2022. The authorized official on file is Karla Pivik, DO, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134856404 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 5, 2022 |
| Last updated in NPPES | May 13, 2026 |
| Certified by provider | May 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
Other Dermatology providers in Bend
- 1902635550
- 1649244393
- 1780846501
- 1366492530
- 1447713573
- 1962431627
- 1447764741
- 1871954214
- 1407554819
- 1326864059
- 1841277241
- 1730168014