Central Wa Oral Health Foundation

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

15162 Issued in WA

Legal business name

CENTRAL WA ORAL HEALTH FOUNDATION

Practice address

103 S 3Rd St
Suite #204
Yakima, WA 98901-2883

Phone

(509) 248-1305

Fax

(509) 574-4250

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Brown, DDS

Title

Board Chair

Phone

(509) 966-0303

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013049394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S 3RD ST",
            "address_2": "SUITE #204",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012883",
            "telephone_number": "509-248-1305",
            "fax_number": "509-574-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S 3RD ST",
            "address_2": "SUITE #204",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012883",
            "telephone_number": "509-248-1305",
            "fax_number": "509-574-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WA ORAL HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "509-966-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WA",
            "license": "15162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036082",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cedar River Clinics
• Manuel E Ceja, BA, AAC
• Center for Counseling & Psychotherapy LLC
• Center for Counseling & Psychotherapy, LLC
• Central Cascades Women'S Health, PLLC
• Central Washington Comprehensive Mental Health
• Central Washington Horizon Counseling
• Central Washington Optical, LLC
• Central Washington Physical Therapy
• Central Washington Podiatry Service PLLC

• Public Health or Welfare Agency in Yakima, WA
• Providers in Yakima, WA by specialty
• Public Health or Welfare Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.