Sonbridge Community Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

603318670 Issued in WA

Legal business name

SONBRIDGE COMMUNITY CENTER

Practice address

1200 SE 12TH St
College Place, WA 99324-1827

Phone

(509) 529-3100

NPI assigned

Jun 29, 2014

Organization subpart

Yes

Parent organization

UPPER COLUMBIA CONFERENCEAs reported in NPPES

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

Authorized official

Name

Dr. Melvin S Lang, PHD

Title

Director

Phone

(509) 301-3460

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404000000000",
    "number": "1134534084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SE 12TH ST",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241827",
            "telephone_number": "509-529-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SE 12TH ST",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241827",
            "telephone_number": "509-529-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONBRIDGE COMMUNITY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPPER COLUMBIA CONFERENCE",
        "enumeration_date": "2014-06-29",
        "last_updated": "2014-06-29",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-301-3460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "603318670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal L Smith, RN
• Julee J Smith, LMT
• Kristin Jennifer Smith, MSW
• Lori Diane Smith, RN
• Robbie Smith
• Madison Faith Sprinkle
• Yvonne E Stratton, MD
• Lisa Kay Thomson, RPH
• Thriving Home Health Care
• Bethany Jayne Voss, LMT

• General Practice Dentistry in College Place, WA
• Providers in College Place, 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 Jun 29, 2014; 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.