NPIMap

Organization Active NPI

Dentistry for Children LLC

  • Pediatric Dentistry
  • Bremerton, WA
National Provider Identifier
1154487759
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DENTISTRY FOR CHILDREN LLC
Practice address
1425 NE Franklin Ave
Bremerton, WA 98311-3026
Phone
(360) 377-3844
Fax
(360) 377-2148
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey V Hays, D.D.S. , M.SNPI 1275699860
Title
President
Phone
(360) 377-3844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1425 NE Franklin Ave
Bremerton, WA 98311-3026

Mailing address

1425 NE Franklin Ave
Bremerton, WA 98311-3026
Phone (360) 377-3844

Other identifiers 1

IdentifierTypeStateIssuer
5036330MedicaidWA

National Provider Directory

National Provider Directory

Locations

1425 NE Franklin Ave
Bremerton, WA 98311
Phone (360) 377-3844

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154487759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 NE FRANKLIN AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113026",
            "telephone_number": "360-377-3844",
            "fax_number": "360-377-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 NE FRANKLIN AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113026",
            "telephone_number": "360-377-3844",
            "fax_number": "360-377-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY FOR CHILDREN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-377-3844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S. , M.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036330",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.