Active NPI
Oasis Dental Vancouver
- Dental Clinic/Center
- Vancouver, WA
National Provider Identifier
1407470628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- OASIS DENTAL VANCOUVER
- Practice address
- 16500 SE 15TH St Ste 180
Vancouver, WA 98683-9666 - Phone
- (360) 695-3369
- Fax
- (360) 695-0215
- NPI assigned
- Jun 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew C Aldridge, DMD
- Title
- Dentist
- Phone
- (360) 695-3369
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
16500 SE 15TH St Ste 180
Vancouver, WA 98683-9666
Mailing address
16500 SE 15TH St Ste 180
Vancouver, WA 98683-9666
Phone (360) 695-3369
National Provider Directory
National Provider DirectoryLocations
16500 SE 15th St
Ste 180
Vancouver, WA 98683
Phone (360) 614-2519
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Vancouver, WA
- NPI 1831746510
-
- General Practice Dentistry
- Vancouver, WA
- NPI 1972756484
-
- Student in an Organized Health Care Education/Training Program
- Vancouver, WA
- NPI 1902334154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591142400000",
"number": "1407470628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16500 SE 15TH ST STE 180",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839666",
"telephone_number": "360-695-3369",
"fax_number": "360-695-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16500 SE 15TH ST STE 180",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839666",
"telephone_number": "360-695-3369",
"fax_number": "360-695-0215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OASIS DENTAL VANCOUVER",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-03",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A",
"authorized_official_last_name": "ALDRIDGE",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "360-695-3369",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"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 Jun 3, 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.