Organization Active NPI

Elperin DDS, PLLC

Doing business as Sunrise Dental of Ellensburg

  • Dentist
  • Ellensburg, WA
National Provider Identifier
1023394541
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60169589 Issued in WA
Legal business name
ELPERIN DDS, PLLC
Doing business as
Sunrise Dental of Ellensburg
Practice address
306 S Main St
Ellensburg, WA 98926-3608
Phone
(509) 790-0080
Fax
(509) 232-7181
NPI assigned
Oct 28, 2011
Last updated
Oct 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Dr. Igor Elperin, D.D.S
Title
Dentist
Phone
(509) 790-0080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE60169589 WA Primary

Addresses

Primary practice location

306 S Main St
Ellensburg, WA 98926-3608

Mailing address

306 S Main St
Ellensburg, WA 98926-3608
Phone (509) 790-0080

Other names 1

  • Sunrise Dental of Ellensburg Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elperin DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

306 S Main St
Ellensburg, WA 98926
Phone (509) 790-0080

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1023394541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S MAIN ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263608",
            "telephone_number": "509-790-0080",
            "fax_number": "509-232-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S MAIN ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263608",
            "telephone_number": "509-790-0080",
            "fax_number": "509-232-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELPERIN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "ELPERIN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "509-790-0080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60169589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental of Ellensburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.