NPIMap

Organization Active NPI

Swinomish/Upper Skagit Dental Clinic

  • Public Health or Welfare Agency
  • La Conner, WA
National Provider Identifier
1104093731
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
NC6498 Issued in NC
Legal business name
SWINOMISH/UPPER SKAGIT DENTAL CLINIC
Practice address
17395 Reservation Rd
La Conner, WA 98257-8802
Phone
(360) 466-3900
NPI assigned
May 13, 2008
Last updated
May 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Dr. Raymond A Dailey, DDSNPI 1427130145
Title
Dentist
Phone
(360) 466-3900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NC6498 NC Primary
Point of Service 305S00000X NC6498 NC

Addresses

Primary practice location

17395 Reservation Rd
La Conner, WA 98257-8802

Mailing address

PO Box 332
La Conner, WA 98257-0332
Phone (360) 466-3900

National Provider Directory

National Provider Directory
Tax ID family
Swinomishupper Skagit Dental Clinic10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1104093731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "LA CONNER",
            "state": "WA",
            "postal_code": "982570332",
            "telephone_number": "360-466-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17395 RESERVATION RD",
            "city": "LA CONNER",
            "state": "WA",
            "postal_code": "982578802",
            "telephone_number": "360-466-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWINOMISH/UPPER SKAGIT DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-466-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NC",
            "license": "NC6498",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NC",
            "license": "NC6498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Conner, WA

Sources for this page

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