NPIMap

Organization Active NPI

Jared H Condie DMD Ms

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sunnyside, WA
National Provider Identifier
1033423561
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE60147522 Issued in WA
Legal business name
JARED H CONDIE DMD MS
Doing business as
Sunny Smile Orthodontics
Practice address
1725 E Lincoln Ave
Sunnyside, WA 98944-2478
Phone
(509) 837-7933
Fax
(509) 837-4397
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Dr. Jared H Condie, DMD MSNPI 1235259722
Title
Member
Phone
(509) 837-7933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DE60147522 WA Primary

Addresses

Primary practice location

1725 E Lincoln Ave
Sunnyside, WA 98944-2478

Mailing address

1725 E Lincoln Ave
Sunnyside, WA 98944-2478
Phone (509) 837-7933

Other names 1

  • Sunny Smile Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1725 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 837-7933

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1033423561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E LINCOLN AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442478",
            "telephone_number": "509-837-7933",
            "fax_number": "509-837-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E LINCOLN AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442478",
            "telephone_number": "509-837-7933",
            "fax_number": "509-837-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED H CONDIE DMD MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "CONDIE",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "509-837-7933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE60147522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Smile Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyside, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.