Vancouver Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VANCOUVER DENTAL LLC

Doing business as

Colombia River Dentistry

Practice address

16600 SE 15TH St
Vancouver, WA 98683-9501

Phone

(360) 878-7435

NPI assigned

Oct 11, 2023

Last updated

Oct 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clark Brinton

Title

Owner

Phone

(505) 273-4994

Specialties & licenses 1

Addresses

Other names 1

• Colombia River Dentistry Doing business as

Locations

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.

• Sean McCombs, DDS

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1205489051
  NPD

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1245011634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 SE 15TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 SE 15TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839501",
            "telephone_number": "360-878-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "BRINTON",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-273-4994"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colombia River Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vancouver Community Midwives, PLLC
• Vancouver Contact Lens & Vision Clinic Inc
• Vancouver Counseling Associates, LLC
• Vancouver Counseling Group
• Vancouver Dental Care, L.L.C.
• Vancouver Dental Surgery Center
• Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS (Vancouver Ear, Nose & Throat Head & Neck Surgery Center)
• Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS
• Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS (Vancouver Ear, Nose & Throat Head & Neck Surgery Center)
• Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, PS

• Dental Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.