Nate Repta DMD PS

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NATE REPTA DMD PS

Practice address

275 Pendleton Way
Washougal, WA 98671-4203

Phone

(503) 453-3641

NPI assigned

Aug 16, 2019

Organization subpart

No

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

Authorized official

Name

Nate Repta, DMD

Title

Shareholder

Phone

(503) 453-3641

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natanael Repta, DMD

  • Dentist
  • Washougal, WA
  • NPI 1326457219
  NPD

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1265088041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 32ND ST UNIT 5",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986711865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 PENDLETON WAY",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986714203",
            "telephone_number": "503-453-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATE REPTA DMD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "REPTA",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "503-453-3641",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Joan Wilcox Moore
• Soncea Rae Moore, L.M.P.
• Jennifer Diane Morales, M.A., LMHC
• Mount Pleasant School District
• Kristen Marie Moya, LMHC
• Neeley Psychological Services, LLC
• Benjamin John Neeley, PH.D.
• Chris Neveux, CCC-SLP
• Corrine U Nightingale, CRC, NCC
• Jack Riley Olson

• Dentist in Washougal, WA
• Providers in Washougal, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.