NPIMap

Organization Active NPI

Dental Health Group

  • General Practice Dentistry
  • Bonney Lake, WA
National Provider Identifier
1194979732
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5747 Issued in WA
Legal business name
DENTAL HEALTH GROUP
Practice address
21197 Sr 410 E
Bonney Lake, WA 98391-8457
Phone
(253) 862-0194
Fax
(253) 862-9068
NPI assigned
Nov 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Dr. Alan J Orsborn, DDSNPI 1679678734
Title
Owner
Phone
(253) 862-0194

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 5747 WA Primary

Addresses

Primary practice location

21197 Sr 410 E
Bonney Lake, WA 98391-8457

Mailing address

21197 Sr 410 E
Bonney Lake, WA 98391-8457
Phone (253) 862-0194

National Provider Directory

National Provider Directory

Locations

21197 State Route 410 E
Bonney Lake, WA 98391
Phone (253) 862-0194

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": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1194979732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21197 SR 410 E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918457",
            "telephone_number": "253-862-0194",
            "fax_number": "253-862-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21197 SR 410 E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918457",
            "telephone_number": "253-862-0194",
            "fax_number": "253-862-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "ORSBORN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-862-0194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.