Organization Active NPI

Discovery Denture Center, Inc.

  • Denturist
  • Olympia, WA
National Provider Identifier
1245359926
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
Legal business name
DISCOVERY DENTURE CENTER, INC.
Practice address
1700 Cooper Point Rd SW Ste B3
Olympia, WA 98502-1110
Phone
(360) 943-6290
Fax
(360) 943-8505
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Julie StoneNPI 1700960978
Title
President
Phone
(360) 943-6290

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
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X Primary

Addresses

Primary practice location

1700 Cooper Point Rd SW Ste B3
Olympia, WA 98502-1110

Mailing address

1700 Cooper Point Rd SW Ste B3
Olympia, WA 98502-1110
Phone (360) 943-6290

Other identifiers 3

IdentifierTypeStateIssuer
5040498MedicaidWA
5028626MedicaidWA
5021563MedicaidWA

National Provider Directory

National Provider Directory

Locations

1700 Cooper Point Rd SW
Ste B3
Olympia, WA 98502
Phone (360) 350-6610

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245359926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 COOPER POINT RD SW STE B3",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021110",
            "telephone_number": "360-943-6290",
            "fax_number": "360-943-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 COOPER POINT RD SW STE B3",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021110",
            "telephone_number": "360-943-6290",
            "fax_number": "360-943-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY DENTURE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-943-6290"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5040498",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5028626",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5021563",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.