Vanbibber Haught DDS PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60282727 Issued in WA

Legal business name

VANBIBBER HAUGHT DDS PC

Doing business as

Kids Dental and Orthodontics

Practice address

6344 Littlerock Rd SW
BLDG 2
Tumwater, WA 98512-7332

Phone

(253) 537-5437

Fax

(253) 537-5438

NPI assigned

Feb 26, 2016

Last updated

Feb 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin L Vanbibber, DMD

Title

President

Phone

(253) 537-5437

Specialties & licenses 1

Addresses

Other names 1

• Kids Dental and Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1295195741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 72ND ST E",
            "address_2": "STE B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984041800",
            "telephone_number": "253-537-5437",
            "fax_number": "253-537-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6344 LITTLEROCK RD SW",
            "address_2": "BLDG 2",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127332",
            "telephone_number": "253-537-5437",
            "fax_number": "253-537-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANBIBBER HAUGHT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "VANBIBBER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-537-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60282727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Lorena Umana, LPN
• Lynn Urvina, BA
• Lauren Valley
• Carla Van Dam, PHD
• Patrick Van Den Akker
• Richard L. Vancleave, LMHC
• Andres Enrique Velazquez
• Jennifer Lynn Venable, APRN
• Carissa M Ventosa
• Richard Allen Vertz, PHARM. D.

• Pediatric Dentistry in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.