Justin Vanbibber II DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

DE60282727 Issued in WA

Legal business name

JUSTIN VANBIBBER II DDS PC

Doing business as

Harbor Kids Dental & Orthodontics

Practice address

900 Ocean Beach Hwy Ste a
Longview, WA 98632-4013

Phone

(253) 759-5437

Fax

(253) 426-1836

NPI assigned

Jul 31, 2018

Organization subpart

No

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

Authorized official

Name

Christina Ojeda

Title

Regional MGR

Phone

(253) 759-5437

Specialties & licenses 1

Addresses

Other names 1

• Harbor Kids Dental & Orthodontics Doing business as

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1093293219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 6TH AVE STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062618",
            "telephone_number": "253-759-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OCEAN BEACH HWY STE A",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324013",
            "telephone_number": "253-759-5437",
            "fax_number": "253-426-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN VANBIBBER II DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "OJEDA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "REGIONAL MGR",
        "authorized_official_telephone_number": "253-759-5437"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60282727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Kids Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harbor Kids Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen R Jorgensen, PTA
• Amy C Josephson, PA-C
• Abhijeet S Joshi, M.D.
• James Ira Joubert II, M.D.
• Amanda Christine Joyce, M.A.
• Juliet Wanjeri Kagwa, RN61191406
• Kaiser Foundation Health Plan of the Northwest
• Kaiser Foundation Health Plan of the Northwest
• Kaiser Foundation Health Plan of the Northwest
• Kaiser Foundation Health Plan of the Northwest

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.