NPIMap

Organization Active NPI

Nisqually Indian Tribe Dental

  • Clinic/Center
  • Olympia, WA
National Provider Identifier
1003008558
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NISQUALLY INDIAN TRIBE DENTAL
Practice address
4840 Journey St SE
Olympia, WA 98513-6779
Phone
(360) 486-9599
Fax
(360) 438-9856
NPI assigned
Aug 17, 2007
Last updated
Oct 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Crystal J Hester
Title
Revenue Cycle Manager
Phone
(360) 486-9599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X WA Primary

Addresses

Primary practice location

4840 Journey St SE
Olympia, WA 98513-6779

Mailing address

4840 Journey St SE
Olympia, WA 98513-6779
Phone (360) 486-9599

National Provider Directory

National Provider Directory
Tax ID family
Nisqually Indian Tribe Dental8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4840 Journey St SE
Olympia, WA 98513
Phone (360) 456-1557

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73054

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1003008558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 JOURNEY ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985136779",
            "telephone_number": "360-486-9599",
            "fax_number": "360-438-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 JOURNEY ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985136779",
            "telephone_number": "360-486-9599",
            "fax_number": "360-438-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISQUALLY INDIAN TRIBE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "360-486-9599"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.