Sunridge Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

DE00006691 Issued in WA

Legal business name

SUNRIDGE ORAL SURGERY

Practice address

5000 W Nob Hill Blvd
Yakima, WA 98908-3746

Phone

(509) 853-3622

Fax

(509) 853-3623

NPI assigned

Jul 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Darrell K Tew, DDSNPI 1760542153

Title

President

Phone

(509) 853-3622

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darrell K. Tew, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Yakima, WA
  • NPI 1760542153
  NPD (past) Authorized official

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1356794481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W NOB HILL BLVD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083746",
            "telephone_number": "509-853-3622",
            "fax_number": "509-853-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W NOB HILL BLVD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083746",
            "telephone_number": "509-853-3622",
            "fax_number": "509-853-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRIDGE ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "TEW",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-853-3622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE00006691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunnyside Community Hospital Association
• Sunnyside Community Hospital Association
• Sunnyside Community Hospital Association
• Sunnyside Community Hospital Association
• Sunnyside Community Hospital Outpatient Center 5
• Sunrise Dental of Yakima
• Sunrise Lymphedema Center LLC
• Sunrise Outreach Center of Yakima
• Chanelle Amber Surginer
• Cynthia M Suriano, D.C.

• Oral and Maxillofacial Surgery Clinic/Center in Yakima, WA
• Providers in Yakima, WA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.