NPIMap

Organization Active NPI

Island Prosthodontics

  • Prosthodontics
  • Oak Harbor, WA
National Provider Identifier
1306246202
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DE000005717 Issued in WA
Legal business name
ISLAND PROSTHODONTICS
Practice address
20 SW 8TH Ave
Oak Harbor, WA 98277-5314
Phone
(360) 240-0800
Fax
(360) 240-0881
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Dr. Kirk Kallander, DDS
Title
President
Phone
(360) 672-1790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X DE000005717 WA Primary

Addresses

Primary practice location

20 SW 8TH Ave
Oak Harbor, WA 98277-5314

Mailing address

20 SW 8TH Ave
Oak Harbor, WA 98277-5314
Phone (360) 240-0800

National Provider Directory

National Provider Directory

Locations

20 SW 8th Ave
Oak Harbor, WA 98277
Phone (360) 240-0800

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": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1306246202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SW 8TH AVE",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775314",
            "telephone_number": "360-240-0800",
            "fax_number": "360-240-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SW 8TH AVE",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775314",
            "telephone_number": "360-240-0800",
            "fax_number": "360-240-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PROSTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "KALLANDER",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-672-1790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE000005717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.