Organization Active NPI

Yakima Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Yakima, WA
National Provider Identifier
1386192052
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE60191920 Issued in WA
Legal business name
YAKIMA ORTHODONTICS
Practice address
1107 Summitview Ave
Yakima, WA 98902-3024
Phone
(509) 248-5181
Fax
(509) 575-7967
NPI assigned
Sep 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Kiann Jaeger
Title
Office Manager
Phone
(509) 248-5181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DE60191920 WA Primary

Addresses

Primary practice location

1107 Summitview Ave
Yakima, WA 98902-3024

Mailing address

1107 Summitview Ave
Yakima, WA 98902-3024
Phone (509) 248-5181

National Provider Directory

National Provider Directory

Locations

1107 Summitview Ave
Yakima, WA 98902
Phone (509) 248-5181

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": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1386192052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 SUMMITVIEW AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023024",
            "telephone_number": "509-248-5181",
            "fax_number": "509-575-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 SUMMITVIEW AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023024",
            "telephone_number": "509-248-5181",
            "fax_number": "509-575-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "KIANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-248-5181"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE60191920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.