NPIMap

Organization Active NPI

Yancy T. Sipes DDS PS

  • Dental Clinic/Center
  • Black Diamond, WA
National Provider Identifier
1023204187
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE0009945 Issued in WA
Legal business name
YANCY T. SIPES DDS PS
Practice address
31527 3Rd Ave
Black Diamond, WA 98010-9731
Phone
(360) 886-1300
Fax
(360) 886-9848
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. Yancy Theodore Sipes, DDSNPI 1811054976
Title
Owner/Dentist
Phone
(360) 886-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE0009945 WA Primary

Addresses

Primary practice location

31527 3Rd Ave
Black Diamond, WA 98010-9731

Mailing address

31527 3Rd Ave
Black Diamond, WA 98010-9731
Phone (360) 886-1300

National Provider Directory

National Provider Directory

Locations

31527 3rd Ave
Black Diamond, WA 98010
Phone (360) 886-1300

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": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1023204187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31527 3RD AVE",
            "city": "BLACK DIAMOND",
            "state": "WA",
            "postal_code": "980109731",
            "telephone_number": "360-886-1300",
            "fax_number": "360-886-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31527 3RD AVE",
            "city": "BLACK DIAMOND",
            "state": "WA",
            "postal_code": "980109731",
            "telephone_number": "360-886-1300",
            "fax_number": "360-886-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANCY T. SIPES DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "SIPES",
        "authorized_official_first_name": "YANCY",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "360-886-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE0009945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Diamond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.