NPIMap

Organization Active NPI

Pomeroy Dental Center

  • Dentist
  • Pomeroy, WA
National Provider Identifier
1245770353
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5974 Issued in WA
Legal business name
POMEROY DENTAL CENTER
Practice address
813 1/2 Columbia St
Pomeroy, WA 99347
Phone
(509) 843-3495
Fax
(509) 843-3496
NPI assigned
Mar 8, 2017
Last updated
Mar 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Dr. Dan R. WilsonNPI 1346351525
Title
Owner
Phone
(509) 843-3495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5974 WA Primary

Addresses

Primary practice location

813 1/2 Columbia St
Pomeroy, WA 99347

Mailing address

813 1/2 Columbia St
Pomeroy, WA 99347
Phone (509) 843-3495

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1245770353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 1/2 COLUMBIA ST",
            "city": "POMEROY",
            "state": "WA",
            "postal_code": "99347",
            "telephone_number": "509-843-3495",
            "fax_number": "509-843-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 1/2 COLUMBIA ST",
            "city": "POMEROY",
            "state": "WA",
            "postal_code": "99347",
            "telephone_number": "509-843-3495",
            "fax_number": "509-843-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMEROY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-843-3495",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "5974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomeroy, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.