Scott M Van Dyken DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SCOTT M VAN DYKEN DMD PLLC

Practice address

606 E 8TH St
Port Angeles, WA 98362-6224

Phone

(360) 457-3127

NPI assigned

May 24, 2023

Organization subpart

No

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

Authorized official

Name

Jenny Garcia-Rocha

Title

Credentialing Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Van Dyken Family Dentistry Doing business as

Locations

Practitioners 2

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

• Scott M Van Dyken, DMD

  • Dentist
  • Port Angeles, WA
  • NPI 1407947674
  NPD (past)
• Julie Ann Vignes, DDS

  • Dentist
  • Port Angeles, WA
  • NPI 1215141759
  NPD (past)

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1285326512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626224",
            "telephone_number": "360-457-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626224",
            "telephone_number": "360-457-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M VAN DYKEN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Dyken Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elli Robbin Schulz, DO61230218
• Lusana Schutz, DO
• Schweyen Chiropractic, P.S.
• Jody Ann Schweyen, D.C.
• Scott M Braun OD PLLC
• Amy Scott, RN
• Jonathan Scott
• Robert L Scott, MD
• Joshua Sculley
• Sea Mar Community Health Centers

• General Practice Dentistry in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.