Organization Active NPI

Value Dental

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1215154513
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8301 Issued in WA
Legal business name
VALUE DENTAL
Practice address
6115 NE 114TH Ave
Vancouver, WA 98662-6349
Phone
(360) 256-1333
Fax
(360) 573-6552
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sanjeev Sharma, B.D.S., M.D.S., M.S.
Title
Dentist
Phone
(360) 256-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8301 WA Primary

Addresses

Primary practice location

6115 NE 114TH Ave
Vancouver, WA 98662-6349

Mailing address

6115 NE 114TH Ave
Vancouver, WA 98662-6349
Phone (360) 256-1333

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215154513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 NE 114TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626349",
            "telephone_number": "360-256-1333",
            "fax_number": "360-573-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 NE 114TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626349",
            "telephone_number": "360-256-1333",
            "fax_number": "360-573-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-256-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.D.S., M.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 22, 2020; 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.