Adam Josiah Vawter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60239245 Issued in WA

Practice address

1000 Wallace Way
Grandview, WA 98930-8805

Phone

(509) 882-3444

Fax

(509) 882-1097

NPI assigned

Nov 9, 2011

Last updated

Dec 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rapid City Dental PLLC

  • Dental Clinic/Center
  • Rapid City, SD
  • NPI 1477325736
  NPD Authorized official

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1245517820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480190",
            "telephone_number": "509-865-2395",
            "fax_number": "509-865-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WALLACE WAY",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989308805",
            "telephone_number": "509-882-3444",
            "fax_number": "509-882-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAWTER",
        "first_name": "ADAM",
        "middle_name": "JOSIAH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-09",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60239245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Early Learning & Family Center LLC (United Family Center)
• Inez Maria Valencia
• Valley Mobile Chiropractic and Sports Medicine (House Call Chiropractic)
• Carlos Vargas-Contreras, LSWAIC
• Maria Elena Vargas, LMP
• Sara Margarita Vega-Evans, PSYCHOTHERAPIST
• Cuong Dan Vien
• Gorun Victor Vladeanu, MD
• Jonathan Volz, D.D.S.
• Marcia Karin Wagner, M.S., R.D., C.D.

• General Practice Dentistry in Grandview, WA
• Providers in Grandview, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.