NPIMap

Organization Active NPI

Undertheseadentistryforchildren

  • Pediatric Dentistry
  • Vancouver, WA
National Provider Identifier
1396915500
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE00010355 Issued in WA
Legal business name
UNDERTHESEADENTISTRYFORCHILDREN
Practice address
3205 SE 192ND Ave
Suite#100
Vancouver, WA 98683-1467
Phone
(360) 891-9283
Fax
(360) 891-8030
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Pamela Denice Butler, DMDNPI 1801831508
Title
Owner/Pediatric Dentist
Phone
(360) 891-9283

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DE00010355 WA Primary

Addresses

Primary practice location

3205 SE 192ND Ave
Suite#100
Vancouver, WA 98683-1467

Mailing address

3205 SE 192ND Ave
Suite#100
Vancouver, WA 98683
Phone (360) 891-9283

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1396915500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 SE 192ND AVE",
            "address_2": "SUITE#100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "360-891-9283",
            "fax_number": "360-891-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 SE 192ND AVE",
            "address_2": "SUITE#100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831467",
            "telephone_number": "360-891-9283",
            "fax_number": "360-891-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERTHESEADENTISTRYFORCHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "DENICE",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "360-891-9283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00010355",
            "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 Mar 4, 2008; 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.