Douglas Topper Wilson Miller and Bosshardt PS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

DOUGLAS TOPPER WILSON MILLER AND BOSSHARDT PS

Practice address

4207 Tieton Dr
Yakima, WA 98908-3347

Phone

(509) 965-8911

Fax

(509) 965-6143

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Steven C Miller, MD DDS

Title

Vice President

Phone

(509) 965-8911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Yakima Oral Surgery Associates Doing business as

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285718841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083347",
            "telephone_number": "509-965-8911",
            "fax_number": "509-965-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083347",
            "telephone_number": "509-965-8911",
            "fax_number": "509-965-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS TOPPER WILSON MILLER AND BOSSHARDT PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "509-965-8911",
        "authorized_official_credential": "MD DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5028519",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yakima Oral Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Dority
• Jason Doty
• Jill Dougherty, MA PSYCHOLOGY LMHC
• Roland Evan Dougherty, PH.D.
• Douglas & Topper PS
• Chad Richard Douglas, D.O.
• David L Douglas
• Jonathan Douglas
• Lindsey R Douglas III, DMD
• Tyler Shane Douglas, CP61119971

• Oral and Maxillofacial Surgery (Dentist) in Yakima, WA
• Providers in Yakima, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.