Organization Active NPI

Ostenson Dental

  • Dental Clinic/Center
  • Vancouver, WA
National Provider Identifier
1427502095
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00004387 Issued in WA
Legal business name
OSTENSON DENTAL
Practice address
217 S Morrison Rd
Vancouver, WA 98664-1436
Phone
(360) 693-3112
NPI assigned
Aug 11, 2016
Last updated
Aug 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Authorized official

Name
Dr. Gary Louis Ostenson, DDSNPI 1740303148
Title
Owner
Phone
(360) 693-3112

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE60167618 WA
Dental Clinic/Center 261QD0000X DE00004387 WA Primary

Addresses

Primary practice location

217 S Morrison Rd
Vancouver, WA 98664-1436

Mailing address

217 S Morrison Rd
Vancouver, WA 98664-1436

National Provider Directory

National Provider Directory

Locations

217 S Morrison Rd
Vancouver, WA 98664
Phone (360) 693-3112

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1427502095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S MORRISON RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S MORRISON RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641436",
            "telephone_number": "360-693-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTENSON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "OSTENSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-693-3112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60167618",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00004387",
            "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 Aug 11, 2016; 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.