Active NPI
Walla Walla Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Walla Walla, WA
National Provider Identifier
1184284689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- WALLA WALLA ORTHODONTICS
- Practice address
- 1608 Penny LN
Walla Walla, WA 99362-4477 - Phone
- (509) 525-7030
- Fax
- (509) 522-3704
- NPI assigned
- Jun 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brianna Crewse
- Title
- Financial Coordinator
- Phone
- (509) 525-7030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
1608 Penny LN
Walla Walla, WA 99362-4477
Mailing address
1608 Penny LN
Walla Walla, WA 99362-4477
Phone (509) 525-7030
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Walla Walla, WA
- NPI 1477977486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560729600000",
"number": "1184284689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 PENNY LN",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624477",
"telephone_number": "509-525-7030",
"fax_number": "509-522-3704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 PENNY LN",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624477",
"telephone_number": "509-525-7030",
"fax_number": "509-522-3704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALLA WALLA ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-17",
"last_updated": "2019-06-17",
"status": "A",
"authorized_official_last_name": "CREWSE",
"authorized_official_first_name": "BRIANNA",
"authorized_official_title_or_position": "FINANCIAL COORDINATOR",
"authorized_official_telephone_number": "509-525-7030"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
- Walla Walla General Hospital (Adventist Health Surgical Specialists)
- Walla Walla General Hospital (Adventist Health Medical Group)
- Walla Walla Homemedical Inc
- Walla Walla Naturopathic PLLC (Melissa McClintock)
- Walla Walla Oms, LLC
- Walla Walla Pediatric Dentistry
- Walla Walla Physical Therapy Center Aps
- Walla Walla Public Schools
- Walla Walla Senior Citizens Center Inc (The Center at the Park)
- Walla Walla Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.