Maple Valley Dentistry Professionals

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009306 Issued in WA

Legal business name

MAPLE VALLEY DENTISTRY PROFESSIONALS

Practice address

24015 SE Kent Kangley Rd
Suite C
Maple Valley, WA 98038-6802

Phone

(425) 433-0600

Fax

(425) 433-0877

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Bernardo Ezequiel Taina, D.D.SNPI 1841367976

Title

President

Phone

(425) 433-0600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernardo E Taina, D.D.S.

  • General Practice Dentistry
  • Maple Valley, WA
  • NPI 1841367976
  NPD Authorized official

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1023338522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24015 SE KENT KANGLEY RD",
            "address_2": "SUITE C",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386802",
            "telephone_number": "425-433-0600",
            "fax_number": "425-433-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24015 SE KENT KANGLEY RD",
            "address_2": "SUITE C",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386802",
            "telephone_number": "425-433-0600",
            "fax_number": "425-433-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE VALLEY DENTISTRY PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "TAINA",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_middle_name": "EZEQUIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-433-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarrina Georgia Manao
• Leeanna Mao, LMT
• Maple Valley Acupuncture
• Maple Valley Chiropractic and Massage, Inc.
• Maple Valley Chiropractic PLLC
• Maple Valley Eye Care Center PS
• Maple Valley Hearing AIDS LLC
• Maple Valley Movement Neurology, PLLC
• Maple Valley Physical Therapy, Inc.
• Maple Valley Vision Clinic PLLC

• General Practice Dentistry in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.