South Sound Community College

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTH SOUND COMMUNITY COLLEGE

Practice address

2011 Mottman Rd
Olympia, WA 98512-6292

Phone

(360) 596-5295

Fax

(360) 596-5707

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Nancy L McKinney

Title

VP for Admin SVCS

Phone

(360) 596-5268

Specialties & licenses 1

Addresses

Other names 1

• South Puget Sound Community College Doing business as

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104951565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 MOTTMAN RD",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985126292",
            "telephone_number": "360-596-5295",
            "fax_number": "360-596-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 MOTTMAN RD",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985126292",
            "telephone_number": "360-596-5295",
            "fax_number": "360-596-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND COMMUNITY COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP FOR ADMIN SVCS",
        "authorized_official_telephone_number": "360-596-5268",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Puget Sound Community College",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bina Chhabra Souri, MD FACOG
• South Sound Ambulatory Surgery Center, PLLC
• South Sound Anesthesia Associates PLLC
• South Sound Behavior Therapy Corp
• South Sound Cares LLC
• South Sound Dentures, P.S.
• South Sound Dentures,PS
• South Sound Family & Sports
• South Sound Family Dentistry
• South Sound Family Dentistry, PLLC

• All providers in Olympia, WA
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.