Half Dental Wa

Primary specialty

DentistTaxonomy code 122300000X

License

DE60096080 Issued in WA

Legal business name

HALF DENTAL WA

Practice address

910 NE Minnehaha St
Suite 12
Vancouver, WA 98665-8750

Phone

(360) 694-4253

Fax

(360) 695-3589

NPI assigned

Aug 8, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa L Rennels

Title

Office Manager

Phone

(360) 694-4253

Specialties & licenses 1

Addresses

Other names 1

• Half Dental Other name

Tax ID family

Half Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Half Dental Wa Inc.

  • Dental Clinic/Center
  • Vancouver, WA
  • NPI 1467895870
  NPD tax ID

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1124375126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 NE MINNEHAHA",
            "address_2": "SUITE 12",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98665",
            "telephone_number": "360-694-4253",
            "fax_number": "360-695-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NE MINNEHAHA ST",
            "address_2": "SUITE 12",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658750",
            "telephone_number": "360-694-4253",
            "fax_number": "360-695-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALF DENTAL WA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "RENNELS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-694-4253",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60096080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Half Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Zachariah Halcumb, D.C.
• Halcyon Counseling and Consulting, LLC
• Demitris P Haldeos, MD
• Marty Elaine Hale, LMP
• Erin Briana Haley, MA, LMFT
• Half Dental Wa Inc.
• Nicole Halfman, LCPO
• Sandrine Halka, LICSW, LCSW
• Julie Halker, MOTR L
• William Halker, OT

• 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 Aug 8, 2012; 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.