Curtis K Wade, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

5108 Issued in WA

Practice address

205 W Fairhaven Ave
Ste C
Burlington, WA 98233-1062

Phone

(360) 757-0201

Fax

(360) 757-1990

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124148788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W FAIRHAVEN AVE",
            "address_2": "STE C",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331062",
            "telephone_number": "360-757-0201",
            "fax_number": "360-757-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W FAIRHAVEN AVE",
            "address_2": "STE C",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331062",
            "telephone_number": "360-757-0201",
            "fax_number": "360-757-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "CURTIS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "5108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Marie Vander Schuur, BA
• Susan Carol Vendeland, PHD, MPH
• Veronica Villalobos
• Vision Plus Burlington, PLLC
• Richard A Volwiler, DDS, MSD
• Eva Marie Wagoner, LMT
• Joseph S Wald, OD
• Walgreen Co
• Mary Alice Wall, CDP
• Logan Matthew Warriner

• Periodontics in Burlington, WA
• Providers in Burlington, WA by specialty
• Periodontics 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.