Richard A Van Der Sluys, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00008361 Issued in WA

Practice address

22350 NE Marketplace Dr
#102
Redmond, WA 98053-2039

Phone

(425) 836-8555

Fax

(425) 836-8556

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124032321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22350 NE MARKETPLACE DR",
            "address_2": "#102",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980532039",
            "telephone_number": "425-836-8555",
            "fax_number": "425-836-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22350 NE MARKETPLACE DR",
            "address_2": "#102",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980532039",
            "telephone_number": "425-836-8555",
            "fax_number": "425-836-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER SLUYS",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cerise McKenna Vablais, PH.D.
• Carole M Vacher
• Rachel Leah Vahlberg, LMT
• Irine L Vaiman, M.D.
• Nelson Valentin Jr., OMD, AP, EAMP
• Raeann Van Houten
• Brooks Vander Wel
• Michele Renee Vanderlin, DMSC, PA-C
• Kai Thomas Vanderlip
• James D. Vandermeer, MD

• General Practice Dentistry in Redmond, WA
• Providers in Redmond, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.