NPIMap

Organization Active NPI

Advanced Dental Implants

  • Periodontics
  • Tukwila, WA
National Provider Identifier
1326311705
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DE00008508 Issued in WA
Legal business name
ADVANCED DENTAL IMPLANTS
Practice address
411 Strander Blvd
Suite 205
Tukwila, WA 98188-2935
Phone
(800) 469-9879
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Mr. Darrin Rapoport, BDS, MSD
Title
Owner/ Periodontist
Phone
(206) 575-1086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X DE00008508 WA Primary

Addresses

Primary practice location

411 Strander Blvd
Suite 205
Tukwila, WA 98188-2935

Mailing address

411 Strander Blvd
Suite 205
Tukwila, WA 98188-2935

Other names 1

  • reStor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1326311705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD",
            "address_2": "SUITE 205",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD",
            "address_2": "SUITE 205",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882935",
            "telephone_number": "800-469-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "RAPOPORT",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_title_or_position": "OWNER/ PERIODONTIST",
        "authorized_official_telephone_number": "206-575-1086",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00008508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "reStor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.