Active NPI
Polsky DDS &Virk DMD Ms PS
- Dental Clinic/Center
- Auburn, WA
National Provider Identifier
1437423928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- POLSKY DDS &VIRK DMD MS PS
- Doing business as
- Dental Surgery Center of Auburn
- Practice address
- 1002 15TH St SW
Suite 215
Auburn, WA 98001-6502 - Phone
- (253) 736-6600
- Fax
- (253) 736-6601
- NPI assigned
- Feb 29, 2012
- Organization subpart
- Yes
- Parent organization
- POLSKYDDS&VIRK DMD MS PS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ellen Polsky, DDS
- Title
- Partner
- Phone
- (617) 792-3007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1002 15TH St SW
Suite 215
Auburn, WA 98001-6502
Mailing address
PO Box 696
Centralia, WA 98531-0696
Phone (360) 736-0928
Other names 1
- Dental Surgery Center of Auburn
National Provider Directory
National Provider Directory- Tax ID family
- Polsky DDS Virk DMD Ms PS
- Part of
- Polsky DDS Virk DMD Ms PS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Puyallup, WA
- NPI 1538460571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330473600000",
"number": "1437423928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 696",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985310696",
"telephone_number": "360-736-0928",
"fax_number": "360-736-0921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 15TH ST SW",
"address_2": "SUITE 215",
"city": "AUBURN",
"state": "WA",
"postal_code": "980016502",
"telephone_number": "253-736-6600",
"fax_number": "253-736-6601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLSKY DDS &VIRK DMD MS PS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "POLSKYDDS&VIRK DMD MS PS",
"enumeration_date": "2012-02-29",
"last_updated": "2012-02-29",
"status": "A",
"authorized_official_last_name": "POLSKY",
"authorized_official_first_name": "ELLEN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "617-792-3007",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dental Surgery Center of Auburn",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.