Active NPI
Lance Eric Vander Giessen, D.D.S.
- Dentist
- Bellingham, WA
National Provider Identifier
1447405014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60035258
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DE60035258 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Bellingham, WA
- NPI 1528514213
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.