NPIMap

Organization Active NPI

Michael T. Horn, DDS, PLLC

Doing business as Friday Harbor Dentistry

  • Dental Clinic/Center
  • Friday Harbor, WA
National Provider Identifier
1265986855
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00010001 Issued in WA
Legal business name
MICHAEL T. HORN, DDS, PLLC
Doing business as
Friday Harbor Dentistry
Practice address
530 Spring St
Friday Harbor, WA 98250
Phone
(360) 378-4944
Fax
(360) 378-2823
NPI assigned
Aug 11, 2016
Last updated
Aug 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Barbara Hixson Foster, DO
Title
Office Admin/Hygienist
Phone
(360) 378-4944

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
Dental Clinic/Center 261QD0000X DE00010001 WA Primary

Addresses

Primary practice location

530 Spring St
Friday Harbor, WA 98250

Mailing address

PO Box 772
Friday Harbor, WA 98250-0772
Phone (360) 378-4944

Other identifiers 1

IdentifierTypeStateIssuer
122300000XMedicaidWA

Other names 1

  • Friday Harbor Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

530 Spring St
Friday Harbor, WA 98250
Phone (360) 472-9299

Practitioners & affiliated clinicians

Practitioners 6

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": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1265986855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982500772",
            "telephone_number": "360-378-4944",
            "fax_number": "360-378-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SPRING ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "98250",
            "telephone_number": "360-378-4944",
            "fax_number": "360-378-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T. HORN, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "HIXSON",
        "authorized_official_title_or_position": "OFFICE ADMIN/HYGIENIST",
        "authorized_official_telephone_number": "360-378-4944",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00010001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122300000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friday Harbor Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Friday Harbor Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friday Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.