Juniper Dermatology LLC
Juniper Dermatology LLC is a healthcare organization registered as Dermatology Physician in Bend, OR, holding Type 2 (organization) NPI 1134856404 since 2022. The authorized official on file is Karla Pivik, Authorized Official.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1134856404 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Juniper Dermatology LLC |
| Practice address | 2450 NE MARY ROSE PL STE 201, Bend, OR, 97701 |
| Phone | 5415857546 |
| Fax | 5415827177 |
| Enumeration date | 2022-08-05 |
| Last updated in NPPES | 2026-05-13 |
Authorized official
| Name | Karla Pivik |
|---|---|
| Title | Authorized Official |
| Phone | 5416479634 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193400000X | Other | — | TAXONOMY CODE |
Copy-ready billing details
Provider: Juniper Dermatology LLC NPI: 1134856404 Taxonomy: 207N00000X (Dermatology Physician) Address: 2450 NE MARY ROSE PL STE 201, Bend, OR, 97701
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1811284433 | Ivan Vial | Individual | Plastic Surgery Physician | Bend, OR |
| 1417207283 | Karla Pivik | Individual | Dermatology Physician | Bend, OR |
| 1518448463 | Elena Salpas | Individual | Physician Assistant | Bend, OR |
| 1770282055 | Dacia Kailin | Individual | Medical Physician Assistant | Bend, OR |
Verify this record
Cross-check NPI 1134856404 against the authoritative CMS record: view Juniper Dermatology LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Juniper Dermatology LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-13.