Phillips & Niemeyer, D.D.S., P.L.L.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

602181283 Issued in WA

Legal business name

PHILLIPS & NIEMEYER, D.D.S., P.L.L.C

Doing business as

Silverdale Dental Center

Practice address

3637 NW Byron Street
Silverdale, WA 98383

Phone

(360) 692-9560

Fax

(360) 692-1729

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Jason Niemeyer, DDS

Title

Owner/Dentist

Phone

(360) 692-9560

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Silverdale Dental Center Doing business as

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1225122104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 NW BYRON ST",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839127",
            "telephone_number": "360-692-9560",
            "fax_number": "360-692-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 NW BYRON STREET",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-692-9560",
            "fax_number": "360-692-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS & NIEMEYER, D.D.S., P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "NIEMEYER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "360-692-9560",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "602181283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790886141",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184725657",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083715569",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silverdale Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Peters, LMFTA
• Lenna Kai Petersen
• Amber Dawn Peterson, LMT
• Ingela Pezzolesi, M.D.
• Aubrey Pflugrad
• Allison Alicia Phillips, LMT
• Jeffrey William Phillips, DDS
• Physioworks Silverdale PLLC
• John Eugene Picard, OD
• Alison Pickens

• General Practice Dentistry in Silverdale, WA
• Providers in Silverdale, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.