Individual provider Active NPI

Lance Eric Vander Giessen, D.D.S.

  • Dentist
  • Bellingham, WA
National Provider Identifier
1447405014
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60035258 Issued in WA
Practice address
3628 Meridian St Ste 2a
Bellingham, WA 98225-1735
Phone
(360) 671-6333
Fax
(360) 671-1730
NPI assigned
Nov 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60035258 WA Primary
General Practice Dentistry 1223G0001X DE60035258 WA

Addresses

Primary practice location

3628 Meridian St Ste 2a
Bellingham, WA 98225-1735

Mailing address

3628 Meridian St Ste 2a
Bellingham, WA 98225-1735
Phone (360) 671-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60035258WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Oswald & Vander Giessen Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1447405014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 MERIDIAN ST STE 2A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251735",
            "telephone_number": "360-671-6333",
            "fax_number": "360-671-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 MERIDIAN ST STE 2A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251735",
            "telephone_number": "360-671-6333",
            "fax_number": "360-671-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER GIESSEN",
        "first_name": "LANCE",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60035258",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60035258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.