NPIMap

Organization Active NPI

Heidi Brandt, DMD,MSD,&Stig Osterberg, DDS, MSD

  • Periodontics
  • Port Townsend, WA
National Provider Identifier
1366725699
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5095 Issued in WA
Legal business name
HEIDI BRANDT, DMD,MSD,&STIG OSTERBERG, DDS, MSD
Practice address
1119 Lawrence St
Port Townsend, WA 98368-6525
Phone
(360) 385-5121
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Stig K Osterberg, DDS, MSDNPI 1134114465
Title
Owner
Phone
(360) 385-5121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 5095 WA Primary

Addresses

Primary practice location

1119 Lawrence St
Port Townsend, WA 98368-6525

Mailing address

1119 Lawrence St
Port Townsend, WA 98368-6525
Phone (360) 385-5121

Other names 1

  • Olympic Peninsula Implants & Peridontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heidi Brandt DMD MSD Stig K Osterberg DDS MSD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1119 Lawrence St
Port Townsend, WA 98368
Phone (360) 207-1971

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": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1366725699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 LAWRENCE ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686525",
            "telephone_number": "360-385-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 LAWRENCE ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686525",
            "telephone_number": "360-385-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI BRANDT, DMD,MSD,&STIG OSTERBERG, DDS, MSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "OSTERBERG",
        "authorized_official_first_name": "STIG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-385-5121",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "5095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Peninsula Implants & Peridontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.