NPIMap

Organization Active NPI

Vetter Dental Group

  • Dentist
  • Olympia, WA
National Provider Identifier
1245772201
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00007321 Issued in WA
Legal business name
VETTER DENTAL GROUP
Practice address
1808 State Ave NE
Olympia, WA 98506-4650
Phone
(360) 459-2677
Fax
(360) 528-8709
NPI assigned
Nov 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Dan Vetter
Title
Owner
Phone
(360) 459-2677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 00007321 WA Primary

Addresses

Primary practice location

1808 State Ave NE
Olympia, WA 98506-4650

Mailing address

1808 State Ave NE
Olympia, WA 98506-4650
Phone (360) 459-2677

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1245772201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 STATE AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064650",
            "telephone_number": "360-459-2677",
            "fax_number": "360-528-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 STATE AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064650",
            "telephone_number": "360-459-2677",
            "fax_number": "360-528-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETTER DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-459-2677"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "00007321",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 8, 2016; 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.