NPIMap

Organization Active NPI

D.L. Vanderschelden, DDS, PC

  • General Practice Dentistry
  • Puyallup, WA
National Provider Identifier
1083076996
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00005629 Issued in WA
Legal business name
D.L. VANDERSCHELDEN, DDS, PC
Practice address
18710 Meridian E Ste 216
Puyallup, WA 98375-2231
Phone
(253) 846-5588
Fax
(253) 846-5589
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Dr. Dale Vanderschelden, DDSNPI 1316166044
Title
Owner
Phone
(253) 826-8800

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00005629 WA Primary

Addresses

Primary practice location

18710 Meridian E Ste 216
Puyallup, WA 98375-2231

Mailing address

18710 Meridian E Ste 216
Puyallup, WA 98375-2231
Phone (253) 846-5588

Other names 1

  • Rainier Dental Puyallup Other name

National Provider Directory

National Provider Directory

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": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1083076996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18710 MERIDIAN E STE 216",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752231",
            "telephone_number": "253-846-5588",
            "fax_number": "253-846-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18710 MERIDIAN E STE 216",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752231",
            "telephone_number": "253-846-5588",
            "fax_number": "253-846-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.L. VANDERSCHELDEN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "VANDERSCHELDEN",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-826-8800",
        "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": "DE00005629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainier Dental Puyallup",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.