NPIMap

Organization Active NPI

Wells Kurt Labberton

  • Dentist
  • Yakima, WA
National Provider Identifier
1437602299
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5848 Issued in WA
Legal business name
WELLS KURT LABBERTON
Practice address
4209 Tieton Dr
Suite 101
Yakima, WA 98908-3377
Phone
(509) 965-4209
Fax
(509) 965-5583
NPI assigned
Jul 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Dr. Wells Kurt Labberton, DDSNPI 1730255480
Title
Owner
Phone
(509) 965-4209

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5848 WA Primary

Addresses

Primary practice location

4209 Tieton Dr
Suite 101
Yakima, WA 98908-3377

Mailing address

4209 Tieton Dr Ste 101
Yakima, WA 98908-3377
Phone (509) 965-4209

National Provider Directory

National Provider Directory

Locations

4209 Tieton Dr
Ste 101
Yakima, WA 98908
Phone (509) 965-4209

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": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1437602299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 TIETON DR STE 101",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083377",
            "telephone_number": "509-965-4209",
            "fax_number": "509-965-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 TIETON DR",
            "address_2": "SUITE 101",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083377",
            "telephone_number": "509-965-4209",
            "fax_number": "509-965-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS KURT LABBERTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "LABBERTON",
        "authorized_official_first_name": "WELLS",
        "authorized_official_middle_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-965-4209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "5848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.