Organization Active NPI

Oasis Dental Vancouver

  • Dental Clinic/Center
  • Vancouver, WA
National Provider Identifier
1407470628
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Jun 3, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.