Dale L. Vanderschelden DDS PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DALE L. VANDERSCHELDEN DDS PS

Doing business as

Rainier Dental

Practice address

18209 Sr 410 E
Ste 300
Bonney Lake, WA 98391-5146

Phone

(253) 826-8800

NPI assigned

Aug 21, 2012

Last updated

Aug 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Remington

Title

Executive Asst

Phone

(253) 826-8800

Specialties & licenses 1

Addresses

Other names 1

• Rainier Dental Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Nicholas Skarshaug, DDS

  • General Practice Dentistry
  • Bonney Lake, WA
  • NPI 1043486707
  NPD (past)
• Jacqueline Tiffin, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1023491149
  NPD (past)
• Dale L Vanderschelden, DDS

  • General Practice Dentistry
  • Bonney Lake, WA
  • NPI 1316166044
  NPD (past)

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1083962187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18209 SR 410 E",
            "address_2": "STE 300",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983915146",
            "telephone_number": "253-826-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18209 SR 410 E",
            "address_2": "STE 300",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983915146",
            "telephone_number": "253-826-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE L. VANDERSCHELDEN DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "REMINGTON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE ASST",
        "authorized_official_telephone_number": "253-826-8800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainier Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael C Crowder, COTA
• Bruce Gerald Cudahy, O.D.
• Sean Cudahy, O.D.
• Carla Mae Cunningham, LMP
• Jonathan David Cyphers, PA
• Alexandra Hurtado Dammen, PA-C
• Ivy Dang, PHARMD
• Dani Danley, CPC1178, LH61165683
• Barbara Davidson
• Andressa Duarte De Meneses, LMT

• General Practice Dentistry in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.