NPIMap

Organization Active NPI

Great Northwest Dental

  • General Practice Dentistry
  • Auburn, WA
National Provider Identifier
1174046049
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60099970 Issued in WA
Legal business name
GREAT NORTHWEST DENTAL
Practice address
1346 8TH St NE Ste 100
Auburn, WA 98002-4588
Phone
(253) 833-6033
Fax
(253) 833-6033
NPI assigned
Jul 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Authorized official

Name
Lindsey Papac, DDSNPI 1710213509
Title
Dentist/Owner
Phone
(253) 833-6033

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60099970 WA Primary

Addresses

Primary practice location

1346 8TH St NE Ste 100
Auburn, WA 98002-4588

Mailing address

806 195TH Ave E
Lake Tapps, WA 98391-5614

National Provider Directory

National Provider Directory

Locations

1346 8th St NE
Ste 100
Auburn, WA 98002
Phone (253) 833-6033

Practitioners & affiliated clinicians

Practitioners 3

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": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1174046049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 195TH AVE E",
            "city": "LAKE TAPPS",
            "state": "WA",
            "postal_code": "983915614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 8TH ST NE STE 100",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024588",
            "telephone_number": "253-833-6033",
            "fax_number": "253-833-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NORTHWEST DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "PAPAC",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "253-833-6033",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60099970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.