NPIMap

Organization Active NPI

Dahlke Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dupont, WA
National Provider Identifier
1245783190
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE 60615411 Issued in WA
Legal business name
DAHLKE ORTHODONTICS LLC
Practice address
1100 Station Dr
Ste 281
Dupont, WA 98327-9763
Phone
(253) 912-9383
Fax
(253) 912-1480
NPI assigned
Jul 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Dr. Kirk R Dahlke, DMD, MSNPI 1891945358
Title
Owner
Phone
(253) 912-9383

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DE 60615411 WA Primary

Addresses

Primary practice location

1100 Station Dr
Ste 281
Dupont, WA 98327-9763

Mailing address

1100 Station Dr
Ste 281
Dupont, WA 98327-9763
Phone (253) 912-9383

National Provider Directory

National Provider Directory

Locations

1100 Station Dr
Ste 281
DuPont, WA 98327
Phone (253) 912-9383

Practitioners & affiliated clinicians

Practitioners 2

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": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1245783190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 STATION DR",
            "address_2": "STE 281",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279763",
            "telephone_number": "253-912-9383",
            "fax_number": "253-912-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 STATION DR",
            "address_2": "STE 281",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279763",
            "telephone_number": "253-912-9383",
            "fax_number": "253-912-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAHLKE ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "DAHLKE",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-912-9383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE 60615411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dupont, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.