Elite Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DE8609 Issued in WA

Legal business name

ELITE DENTISTRY

Practice address

9300 NE Vancouver Mall Dr
Suite # 100
Vancouver, WA 98662-8201

Phone

(360) 253-6375

NPI assigned

Feb 25, 2014

Last updated

Feb 25, 2014By 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

Mrs. Prabh Bhui

Title

Office Manager

Phone

(360) 253-6375

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jared A Franson, DMD, PC

  • Dentist
  • Vancouver, WA
  • NPI 1306993340
  NPD (past)
• Elsa Karin Nordahl, D.M.D.

  • Dentist
  • Vancouver, WA
  • NPI 1992038343
  NPD (past)

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1326463506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 NE VANCOUVER MALL DR",
            "address_2": "SUITE # 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986628201",
            "telephone_number": "360-253-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NE VANCOUVER MALL DR",
            "address_2": "SUITE # 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986628201",
            "telephone_number": "360-253-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "BHUI",
        "authorized_official_first_name": "PRABH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-253-6375",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE8609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122300000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin C Eldredge, BSN,RN,CWON,CCM
• Sarah Goff Eldridge, MSW
• Elevate Physical Therapy
• Christopher J Eley
• Elfin Services, Inc.
• Elite Eye Care, Inc.
• Elite Muscular Therapy
• Elite Muscular Therapy
• Elizabeth Mitchell PLLC
• Rayme Elizondo

• Dentist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.