NPIMap

Organization Active NPI

Smokey Point Family Dentistry, PLLC

Doing business as Smokey Point Family Dentistry

  • Dentist
  • Arlington, WA
National Provider Identifier
1235987215
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMOKEY POINT FAMILY DENTISTRY, PLLC
Doing business as
Smokey Point Family Dentistry
Practice address
3533 172ND St NE BLDG B
Arlington, WA 98223-8758
Phone
(360) 658-3000
Fax
(360) 653-1560
NPI assigned
May 7, 2024
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Nick Sundiam
Title
Credentialing Manager
Phone
(719) 300-5933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3533 172ND St NE BLDG B
Arlington, WA 98223-8758

Mailing address

3533 172ND St NE BLDG B
Arlington, WA 98223-8758
Phone (360) 658-3000

Other names 1

  • Smokey Point Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3533 172nd St NE
#B
Arlington, WA 98223
Phone (360) 658-3000

Practitioners & affiliated clinicians

Practitioners 4

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": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1235987215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 172ND ST NE BLDG B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238758",
            "telephone_number": "360-658-3000",
            "fax_number": "360-653-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 172ND ST NE BLDG B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238758",
            "telephone_number": "360-658-3000",
            "fax_number": "360-653-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKEY POINT FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "SUNDIAM",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-300-5933"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smokey Point Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.