Organization Active NPI

Ehrmantrout & Obenchain, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Aberdeen, WA
National Provider Identifier
1023413077
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE 60102338 Issued in WA
Legal business name
EHRMANTROUT & OBENCHAIN, PLLC
Practice address
800 E Wishkah St
Aberdeen, WA 98520-2915
Phone
(360) 612-3034
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Dr. David Carl Obenchain, D.D.S.
Title
Oral Maxillofacial Surgeon
Phone
(360) 612-3034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DE 60102338 WA Primary

Addresses

Primary practice location

800 E Wishkah St
Aberdeen, WA 98520-2915

Mailing address

6542 36TH LN SE
Lacey, WA 98503-3949
Phone (360) 250-9402

Other names 1

  • Olympic Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

800 E Wishkah St
Aberdeen, WA 98520
Phone (360) 612-3034

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1023413077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6542 36TH LN SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985033949",
            "telephone_number": "360-250-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E WISHKAH ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202915",
            "telephone_number": "360-612-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHRMANTROUT & OBENCHAIN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "OBENCHAIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "ORAL MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "360-612-3034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE 60102338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.