NPIMap

Organization Active NPI

Stephen R. Ottosen, D.D.S., M.S.D., P.S.

  • Dental Clinic/Center
  • Wenatchee, WA
National Provider Identifier
1285087296
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
00007277 Issued in WA
Legal business name
STEPHEN R. OTTOSEN, D.D.S., M.S.D., P.S.
Practice address
1010 5TH St
Wenatchee, WA 98801-1823
Phone
(509) 664-6669
Fax
(509) 665-0272
NPI assigned
Jul 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Dr. Stephen R. Ottosen, D.D.S., M.S.D.NPI 1649495078
Title
President
Phone
(509) 664-6669

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
Dental Clinic/Center 261QD0000X 00007277 WA Primary

Addresses

Primary practice location

1010 5TH St
Wenatchee, WA 98801-1823

Mailing address

1010 5TH St
Wenatchee, WA 98801-1823
Phone (509) 664-6669

National Provider Directory

National Provider Directory

Locations

1010 5th St
Wenatchee, WA 98801
Phone (509) 664-6669

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": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1285087296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 5TH ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011823",
            "telephone_number": "509-664-6669",
            "fax_number": "509-665-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 5TH ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011823",
            "telephone_number": "509-664-6669",
            "fax_number": "509-665-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R. OTTOSEN, D.D.S., M.S.D., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "OTTOSEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-664-6669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "00007277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 14, 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.