NPIMap

Organization Active NPI

Northwest Dental Group PLLC

  • Dentist
  • Port Orchard, WA
National Provider Identifier
1407625320
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NORTHWEST DENTAL GROUP PLLC
Practice address
417 SW Sedgwick Rd Ste 101
Port Orchard, WA 98367-6449
Phone
(360) 329-4657
NPI assigned
Dec 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Ms. Meagan Marie Murphy
Title
Corporate Laison
Phone
(253) 306-1514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

417 SW Sedgwick Rd Ste 101
Port Orchard, WA 98367-6449

Mailing address

417 SW Sedgwick Rd Ste 101
Port Orchard, WA 98367-6449
Phone (253) 306-1514

National Provider Directory

National Provider Directory

Locations

417 SW Sedgwick Rd
Ste 101
Port Orchard, WA 98367
Phone (360) 329-4657

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": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1407625320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 SW SEDGWICK RD STE 101",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983676449",
            "telephone_number": "253-306-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SW SEDGWICK RD STE 101",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983676449",
            "telephone_number": "360-329-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CORPORATE LAISON",
        "authorized_official_telephone_number": "253-306-1514",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.