NPIMap

Individual provider Active NPI

James H Prew, D.M.D.

  • Dentist
  • Vancouver, WA
National Provider Identifier
1386799799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00006384 Issued in WA
Practice address
416 NE 87TH Ave Ste 3
Vancouver, WA 98664-1930
Phone
(360) 891-3020
Fax
(360) 891-5992
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00006384 WA Primary

Addresses

Primary practice location

416 NE 87TH Ave Ste 3
Vancouver, WA 98664-1930

Mailing address

416 NE 87TH Ave Ste 3
Vancouver, WA 98664-1930
Phone (360) 891-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE00006384WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Family Dental Past Accepting new patients
Ying Wu DDS PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386799799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 NE 87TH AVE STE 3",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641930",
            "telephone_number": "360-891-3020",
            "fax_number": "360-891-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 NE 87TH AVE STE 3",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641930",
            "telephone_number": "360-891-3020",
            "fax_number": "360-891-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREW",
        "first_name": "JAMES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.