Individual provider Active NPI

Erin E Palmreuter, DDS

  • Dentist
  • Oak Harbor, WA
National Provider Identifier
1225252844
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60233834 Issued in WA
Practice address
31775 Sr 20 Ste A3
Oak Harbor, WA 98277-5104
Phone
(360) 679-9216
Fax
(360) 679-9239
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22412 OH
General Practice Dentistry 1223G0001X 0401411920 VA
Dentist 122300000X DE60233834 WA Primary

Addresses

Primary practice location

31775 Sr 20 Ste A3
Oak Harbor, WA 98277-5104

Mailing address

31775 Sr 20 Ste A3
Oak Harbor, WA 98277-5104
Phone (360) 679-9216

Other identifiers 1

IdentifierTypeStateIssuer
2678642MedicaidOH

Other names 1

  • Erin Caswell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170601000545 WA Order and Referring Only - DentistPractitioner - Dentist 7315007739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60233834WAMDDentist
22412OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1225252844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31775 SR 20 STE A3",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775104",
            "telephone_number": "360-679-9216",
            "fax_number": "360-679-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31775 SR 20 STE A3",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775104",
            "telephone_number": "360-679-9216",
            "fax_number": "360-679-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMREUTER",
        "first_name": "ERIN",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "22412",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411920",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60233834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2678642",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "CASWELL",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Harbor, WA

Sources for this page

Verify at the official NPI Registry.