NPIMap

Organization Active NPI

Sagebrush Dental LLC

  • Dental Clinic/Center
  • Wenatchee, WA
National Provider Identifier
1265999494
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SAGEBRUSH DENTAL LLC
Doing business as
Cascade Denture Dentist
Practice address
1114 N Mission St Ste C
Wenatchee, WA 98801-6711
Phone
(509) 436-8202
NPI assigned
Feb 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Authorized official

Name
Dr. Erich Jurges, DDSNPI 1942650049
Title
Owner
Phone
(509) 436-8202

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193200000X MULTI-SPECIALTY GROUP 122400000X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1114 N Mission St Ste C
Wenatchee, WA 98801-6711

Mailing address

1335 Pitcher Canyon Rd
Wenatchee, WA 98801-9448
Phone (360) 620-7266

Other practice location 1

714 N Chelan Ave Ste B
Wenatchee, WA 98801-2069
Phone (509) 662-5322

Other names 1

  • Cascade Denture Dentist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cascade Denture Dentist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

714 N Chelan Ave
#B
Wenatchee, WA 98801
Phone (509) 662-5322

Practitioners & affiliated clinicians

Practitioners 1

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": "1550966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1265999494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 PITCHER CANYON RD",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988019448",
            "telephone_number": "360-620-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 N MISSION ST STE C",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016711",
            "telephone_number": "509-436-8202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 N Chelan Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012069",
            "country_code": "US",
            "telephone_number": "509-662-5322",
            "fax_number": "509-214-6536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAGEBRUSH DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-24",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "JURGES",
        "authorized_official_first_name": "ERICH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-436-8202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Denture Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.