NPIMap

Organization Active NPI

Special Delivery Dental Care, PLLC

  • Dental Clinic/Center
  • Vancouver, WA
National Provider Identifier
1164898342
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SPECIAL DELIVERY DENTAL CARE, PLLC
Practice address
16500 SE 15TH St Ste 150
Vancouver, WA 98683-9667
Phone
(360) 326-3829
Fax
(360) 326-4289
NPI assigned
Aug 11, 2015
Organization subpart
Yes
Parent organization
SPECIAL DELIVERY DENTAL CARE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Amy Linder
Title
Secretary
Phone
(360) 326-3829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X WA Primary

Addresses

Primary practice location

16500 SE 15TH St Ste 150
Vancouver, WA 98683-9667

Mailing address

16500 SE 15TH St Ste 150
Vancouver, WA 98683-9667
Phone (360) 326-3829

Other names 1

  • Geriatric Dental Group Doing business as

National Provider Directory

National Provider Directory
Part of
Special Delivery Dental Care PC

Locations

16500 SE 15th St
Ste 150
Vancouver, WA 98683
Phone (360) 326-3829

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1164898342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 SE 15TH ST STE 150",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839667",
            "telephone_number": "360-326-3829",
            "fax_number": "360-326-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 SE 15TH ST STE 150",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839667",
            "telephone_number": "360-326-3829",
            "fax_number": "360-326-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL DELIVERY DENTAL CARE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIAL DELIVERY DENTAL CARE, PC",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "LINDER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "360-326-3829"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geriatric Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.