Organization Active NPI

Above Beyond Dentistry and Implants

  • General Practice Dentistry
  • Battle Ground, WA
National Provider Identifier
1235393166
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4353 Issued in WA
Legal business name
ABOVE BEYOND DENTISTRY AND IMPLANTS
Practice address
1908 NW 1St Way Suite 105
Battle Ground, WA 98604
Phone
(360) 687-0909
Fax
(360) 687-1502
NPI assigned
Jul 10, 2008
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Mr. Glenn D Hollar, DDS
Title
Dentist/Owner
Phone
(360) 687-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4353 WA Primary

Addresses

Primary practice location

1908 NW 1St Way Suite 105
Battle Ground, WA 98604

Mailing address

1908 NW 1St Way Ste 105
Battle Ground, WA 98604-4560
Phone (360) 687-0909

National Provider Directory

National Provider Directory

Locations

1908 NW 1st Way
Ste 105
Battle Ground, WA 98604
Phone (360) 666-8366

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1235393166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 NW 1ST WAY STE 105",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044560",
            "telephone_number": "360-687-0909",
            "fax_number": "360-687-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 NW 1ST WAY SUITE 105",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "98604",
            "telephone_number": "360-687-0909",
            "fax_number": "360-687-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE BEYOND DENTISTRY AND IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "HOLLAR",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "360-687-0909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

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