NPIMap

Organization Active NPI

Northwest Denture Centers

  • Denturist
  • Bellingham, WA
National Provider Identifier
1164740445
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DN0000002 Issued in WA
Legal business name
NORTHWEST DENTURE CENTERS
Practice address
2710 Meridian St
Bellingham, WA 98225-2411
Phone
(360) 676-1499
Fax
(360) 738-2281
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
J Eric Hansen, LD
Title
Owner
Phone
(360) 676-1499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X DN0000002 WA Primary

Addresses

Primary practice location

2710 Meridian St
Bellingham, WA 98225-2411

Mailing address

2710 Meridian St
Bellingham, WA 98225-2411
Phone (360) 676-1499

Other identifiers 1

IdentifierTypeStateIssuer
5041850MedicaidWA

Other names 1

  • Northwest Dental Services Doing business as

National Provider Directory

National Provider Directory

Locations

2710 Meridian St
Bellingham, WA 98225
Phone (360) 676-1499

Practitioners & affiliated clinicians

Practitioners 6

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": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1164740445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 MERIDIAN ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252411",
            "telephone_number": "360-676-1499",
            "fax_number": "360-738-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 MERIDIAN ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252411",
            "telephone_number": "360-676-1499",
            "fax_number": "360-738-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DENTURE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-676-1499",
        "authorized_official_credential": "LD"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN0000002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5041850",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Dental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.