Organization Active NPI

Priya Mistry DDS PC

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1033095450
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PRIYA MISTRY DDS PC
Practice address
16415 SE 15TH St
Suite 103
Vancouver, WA 98683
Phone
(503) 255-8293
Fax
(503) 252-1214
NPI assigned
Aug 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Priya Patil Mistry, DDS
Title
Ceo/Owner
Phone
(503) 255-8293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

16415 SE 15TH St
Suite 103
Vancouver, WA 98683

Mailing address

12518 SE 24TH St
Vancouver, WA 98683
Phone (425) 256-0481

National Provider Directory

National Provider Directory

Locations

16415 SE 15th St
Ste 103
Vancouver, WA 98683
Phone (503) 255-8293

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1033095450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12518 SE 24TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "425-256-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16415 SE 15TH ST",
            "address_2": "SUITE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "503-255-8293",
            "fax_number": "503-252-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIYA MISTRY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "MISTRY",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_middle_name": "PATIL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "503-255-8293",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.