Organization Active NPI

Smilequest Preventive Oral Healthcare

  • Dentist
  • Warden, WA
National Provider Identifier
1396852554
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2940 Issued in WA
Legal business name
SMILEQUEST PREVENTIVE ORAL HEALTHCARE
Practice address
605 W 1St Street
Warden, WA 98857
Phone
(509) 349-7420
Fax
(509) 349-2357
NPI assigned
Aug 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Dorothy T Yamamoto, MHPA RDHNPI 1205016920
Title
Director
Phone
(509) 349-7420

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
Dentist 122300000X 2940 WA Primary

Addresses

Primary practice location

605 W 1St Street
Warden, WA 98857

Mailing address

PO Box 100
605 W 1St Street
Warden, WA 98857
Phone (509) 349-7420

Other identifiers 1

IdentifierTypeStateIssuer
5029244MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Smilequest2 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.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396852554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "address_2": "605 W 1ST STREET",
            "city": "WARDEN",
            "state": "WA",
            "postal_code": "98857",
            "telephone_number": "509-349-7420",
            "fax_number": "509-349-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W 1ST STREET",
            "city": "WARDEN",
            "state": "WA",
            "postal_code": "98857",
            "telephone_number": "509-349-7420",
            "fax_number": "509-349-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEQUEST PREVENTIVE ORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAMAMOTO",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-349-7420",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHPA RDH"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "2940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5029244",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.