Organization Active NPI

Larsen and Pond Family Dentistry

  • General Practice Dentistry
  • Kelso, WA
National Provider Identifier
1043306095
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LARSEN AND POND FAMILY DENTISTRY
Doing business as
Hilander Dental Excellence
Practice address
510 Allen St
Suite a
Kelso, WA 98626-4106
Phone
(360) 636-5170
Fax
(360) 636-0052
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven H Pond, D.M.D
Title
Dentist
Phone
(360) 636-5170

Specialties & licenses 1

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

Addresses

Primary practice location

510 Allen St
Suite a
Kelso, WA 98626-4106

Mailing address

510 Allen St
Suite a
Kelso, WA 98626-4106
Phone (360) 636-5170

Other names 1

  • Hilander Dental Excellence Doing business as

National Provider Directory

National Provider Directory

Locations

510 Allen St
Ste A
Kelso, WA 98626
Phone (360) 636-5170

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043306095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ALLEN ST",
            "address_2": "SUITE A",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264106",
            "telephone_number": "360-636-5170",
            "fax_number": "360-636-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ALLEN ST",
            "address_2": "SUITE A",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264106",
            "telephone_number": "360-636-5170",
            "fax_number": "360-636-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSEN AND POND FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POND",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-636-5170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilander Dental Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kelso, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.