Active NPI
Mountain View Dental
- General Practice Dentistry
- Ridgefield, WA
National Provider Identifier
1407320013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MOUNTAIN VIEW DENTAL
- Practice address
- 5284 Pioneer St Ste 120
Ridgefield, WA 98642-3371 - Phone
- (360) 887-1177
- Fax
- (360) 887-1178
- NPI assigned
- Jan 16, 2019
- Last updated
- Aug 10, 2026
- Organization subpart
- Yes
- Parent organization
- 1710101076
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Crusan, DDS
- Title
- Dentist/Owner
- Phone
- (360) 887-1177
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
5284 Pioneer St Ste 120
Ridgefield, WA 98642-3371
Mailing address
5284 Pioneer St Ste 120
Ridgefield, WA 98642-3371
Phone (360) 887-1177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710101076 | Other | WA | NON-MEDICAID |
National Provider Directory
National Provider Directory- Part of
- Mountain View Dental
Locations
5284 Pioneer St
Unit 120
Ridgefield, WA 98642
Phone (360) 887-1177
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Ridgefield, WA
- NPI 1710101076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1407320013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5284 PIONEER ST STE 120",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986423371",
"telephone_number": "360-887-1177",
"fax_number": "360-887-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5284 PIONEER ST STE 120",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986423371",
"telephone_number": "360-887-1177",
"fax_number": "360-887-1178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VIEW DENTAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "1710101076",
"enumeration_date": "2019-01-16",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A",
"authorized_official_last_name": "CRUSAN",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "360-887-1177",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON-MEDICAID",
"identifier": "1710101076",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.