NPIMap

Organization Active NPI

Moses Lake Family Dentistry

  • Dentist
  • Moses Lake, WA
National Provider Identifier
1437478203
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE7728 Issued in WA
Legal business name
MOSES LAKE FAMILY DENTISTRY
Practice address
975 E Nelson Rd
Moses Lake, WA 98837-4710
Phone
(509) 765-4351
NPI assigned
May 19, 2010
Last updated
May 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Dr. Craig R. HarderNPI 1295954691
Title
Owner
Phone
(509) 765-4351

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE7728 WA Primary

Addresses

Primary practice location

975 E Nelson Rd
Moses Lake, WA 98837-4710

Mailing address

975 E Nelson Rd
Moses Lake, WA 98837-4710

National Provider Directory

National Provider Directory

Locations

975 E Nelson Rd
Moses Lake, WA 98837
Phone (509) 765-4351

Practitioners & affiliated clinicians

Practitioners 1

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": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1437478203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E NELSON RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E NELSON RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374710",
            "telephone_number": "509-765-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES LAKE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-765-4351",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE7728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.