Patrick Rooney D.D.S. P.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00007541 Issued in WA

Legal business name

PATRICK ROONEY D.D.S. P.S.

Practice address

215 Marine Dr # 1
Blaine, WA 98230-4036

Phone

(360) 332-2400

Fax

(360) 332-7161

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Patrick James Rooney, D.D.S. P.S.NPI 1245329283

Title

President

Phone

(360) 332-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blaine Harbor Dental Other name

Locations

Practitioners 1

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

• Patrick James Rooney, D.D.S.

  • General Practice Dentistry
  • Blaine, WA
  • NPI 1245329283
  NPD (past) Authorized official

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1083884191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MARINE DR # 1",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304036",
            "telephone_number": "360-332-2400",
            "fax_number": "360-332-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MARINE DR # 1",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304036",
            "telephone_number": "360-332-2400",
            "fax_number": "360-332-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK ROONEY D.D.S. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "ROONEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-332-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S. P.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00007541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5028790",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blaine Harbor Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sonja Gunilla Norden, PHARM.D.
• Ashlynn Northouse, CBT
• Tiffany Olliver, PTA
• Tamara Olson
• Catherine Park
• Bruce M Pederson, MD
• Robert L Phillips, M.A., LPC
• Artem Popov, PHARMD
• McKenzie Porter
• Premise Health of Washington Medical PC

• Dentist in Blaine, WA
• Providers in Blaine, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.