NPIMap

Organization Active NPI

University Place Dental Clinic

  • General Practice Dentistry
  • University Place, WA
National Provider Identifier
1053636233
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00005600 Issued in WA
Legal business name
UNIVERSITY PLACE DENTAL CLINIC
Practice address
7120 40TH St W
University Place, WA 98466-5000
Phone
(253) 565-4312
Fax
(253) 565-9925
NPI assigned
Mar 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Dr. Bradley P. McPhee, DDS
Title
Owner/Dentist
Phone
(253) 565-4312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00005600 WA Primary

Addresses

Primary practice location

7120 40TH St W
University Place, WA 98466-5000

Mailing address

7120 40TH St W
University Place, WA 98466-5000
Phone (253) 565-4312

National Provider Directory

National Provider Directory

Locations

7120 40th St W
University Place, WA 98466
Phone (253) 565-4312

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1053636233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 40TH ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665000",
            "telephone_number": "253-565-4312",
            "fax_number": "253-565-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 40TH ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665000",
            "telephone_number": "253-565-4312",
            "fax_number": "253-565-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PLACE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "MCPHEE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "253-565-4312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

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