Pacific Northwest Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00007215 Issued in WA

Legal business name

PACIFIC NORTHWEST ORTHODONTICS

Practice address

2702 S 42ND St Ste 106
Tacoma, WA 98409-7315

Phone

(253) 472-7788

Fax

(253) 474-9253

NPI assigned

Apr 22, 2009

Last updated

Apr 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brent Hassel, DDS, PSNPI 1295814671

Title

Owner

Phone

(253) 472-7788

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brent Hassel, DDS, PS Other name

Locations

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.

• Brent Hassel, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tacoma, WA
  • NPI 1295814671
  Authorized official Same address or phone

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1023252947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 S 42ND ST STE 106",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097315",
            "telephone_number": "253-472-7788",
            "fax_number": "253-474-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 S 42ND ST STE 106",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097315",
            "telephone_number": "253-472-7788",
            "fax_number": "253-474-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "HASSEL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-472-7788",
        "authorized_official_credential": "DDS, PS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00007215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5031844",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brent Hassel, DDS, PS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pacific Medical, Inc. (Pacific Medical Prosthetics & Orthotics)
• Pacific Nephrology Associates, P.S.
• Pacific Northwest Integrative Medicine
• Pacific Northwest Kaizen, PLLC (Doc Bee Well)
• Pacific Northwest Lactation, LLC
• Pacific Northwest Psychology & Consulting, PLLC
• Pacific Observation Medicine PLLC
• Pacific Otolaryngology PS
• Pacific Pediatrics
• Pacific Podiatry Group, PS

• Orthodontics and Dentofacial Orthopedics Dentistry in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.