Nisqually Reach Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NISQUALLY REACH FAMILY DENTISTRY

Practice address

2521 Marvin Rd NE Ste G
Lacey, WA 98516-3153

Phone

(360) 458-5606

NPI assigned

Aug 20, 2019

Last updated

Aug 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carrie Garner

Title

Executive Admin.

Phone

(360) 458-5606

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 3

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.

• Daniel G Blackner, D.M.D.

  • Dentist
  • Yelm, WA
  • NPI 1386076487
  NPD (past)
• Stephen Emery Smith, DMD

  • General Practice Dentistry
  • Yelm, WA
  • NPI 1275798746
  NPD (past)
• Mackenzie Elizabeth Wood, DMD

  • Dentist
  • Yelm, WA
  • NPI 1366000903
  NPD (past)

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1215584701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 MARVIN RD NE STE G",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985163153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 MARVIN RD NE STE G",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985163153",
            "telephone_number": "360-458-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISQUALLY REACH FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "EXECUTIVE ADMIN.",
        "authorized_official_telephone_number": "360-458-5606"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Yelm",
            "affiliation": "N",
            "address_1": "2521 Marvin Rd NE Ste G",
            "city": "Lacey",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985163153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin P Nielsen, DDS
• Night Flower Wellness
• Alisha Nimmo
• Teresa Ann Nisbet
• Amnesty A Nishiguchi
• Kassidy Brook Nissell
• Gerald W Nixon, RPH
• Eunice Njeri Njau
• Noble Home Care LLC (Noble Home)
• Noble Path Wellness, LLC (Noble Path Coaching)

• Dentist in Lacey, WA
• Providers in Lacey, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.