Organization Active NPI

Jean-Paul Banh, DDS, PLLC

  • General Practice Dentistry
  • Auburn, WA
National Provider Identifier
1235547175
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60475803 Issued in WA
Legal business name
JEAN-PAUL BANH, DDS, PLLC
Practice address
110 D St SE
Auburn, WA 98002-5528
Phone
(253) 397-4030
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Jean-Paul Banh, D.D.S.NPI 1215345152
Title
Dentist/Managing Member
Phone
(253) 397-4030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60475803 WA Primary

Addresses

Primary practice location

110 D St SE
Auburn, WA 98002-5528

Mailing address

110 D St SE
Auburn, WA 98002-5528
Phone (253) 397-4030

Other names 1

  • Pacific NW Dentistry Other name

National Provider Directory

National Provider Directory

Locations

110 D St SE
Auburn, WA 98002
Phone (206) 910-8069

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1235547175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 D ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025528",
            "telephone_number": "253-397-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 D ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025528",
            "telephone_number": "253-397-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN-PAUL BANH, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "BANH",
        "authorized_official_first_name": "JEAN-PAUL",
        "authorized_official_title_or_position": "DENTIST/MANAGING MEMBER",
        "authorized_official_telephone_number": "253-397-4030",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60475803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific NW Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.