Organization Active NPI

Polsky DDS &Virk DMD Ms PS

  • Dental Clinic/Center
  • Auburn, WA
National Provider Identifier
1437423928
Registry record updated Feb 29, 2012
On this page

Key facts

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

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Polsky DDS Virk DMD Ms PS2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.