Cherry Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DE00007859 Issued in WA

Legal business name

CHERRY DENTAL

Practice address

11310 NE 49TH St
#105
Vancouver, WA 98682-6545

Phone

(503) 644-1110

NPI assigned

Mar 9, 2016

Organization subpart

No

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

Authorized official

Name

Hadi Nouredine, DMD

Title

Owner/Dentist

Phone

(503) 730-6994

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1114388741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 NE 49TH ST",
            "address_2": "#105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986826545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11310 NE 49TH ST",
            "address_2": "#105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986826545",
            "telephone_number": "503-644-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "NOUREDINE",
        "authorized_official_first_name": "HADI",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-730-6994",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00007859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Sue Chenoweth, PSYD
• Lidiya Chepa
• Trisha Cherico, RD
• Nikolay Nikolaevich Chernukhin Jr., D.C.
• Yelena G Chernukhina
• Cheryl a. Hamilton-Jefferson
• Cheryl Wilson Counseling, LLC
• Jennifer L Cheshire, CDP,CADCIII
• Marji Cheshire, LMT
• Mira Chetlen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.